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Incident Report
Subform I: General Information
1. Report Type.
New incident report
Incident Report Number: 2013-2268
2. Registrant Information.
Registrant Reference Number: PROSAR case #: 1-32536863
Registrant Name (Full Legal Name no abbreviations): Syngenta Canada Inc.
Address: 140 Research Lane, Research Park
City: Guelph
Prov / State: Ontario
Country: Canada
Postal Code: N1G4Z3
3. Select the appropriate subform(s) for the incident.
Domestic Animal
4. Date registrant was first informed of the incident.
23-JAN-135. Location of incident.
Country: UNITED STATES
Prov / State: WASHINGTON
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. 50534-188
Product Name: Bravo 720
- Active Ingredient(s)
- CHLOROTHALONIL
- Guarantee/concentration 54 %
- CHLOROTHALONIL
PMRA Registration No. PMRA Submission No. EPA Registration No.
Product Name: unknown product
- Active Ingredient(s)
- ENDOSULFAN
PMRA Registration No. PMRA Submission No. EPA Registration No.
Product Name: unknown product
- Active Ingredient(s)
- ENDOSULFAN
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: Agricultural-Outdoor/Agricole-extérieur
Préciser le type: Unknown
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
Animal's Owner
2. Type of animal affected
Cow / Vache
3. Breed
Beef Cattle
4. Number of animals affected
15
5. Sex
Unknown
6. Age (provide a range if necessary )
Unknown
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
>1 mo <=2 mos / > 1 mois < = 2 mois
11. List all symptoms
System
- Gastrointestinal System
- Symptom - Weight loss
- General
- Symptom - Death
- Nervous and Muscular Systems
- Symptom - Difficulty getting up
- Symptom - Disorientation
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?
No
14. b) How long was the animal hospitalized?
15. Outcome of the incident
Died
16. How was the animal exposed?
Other / Autre
specify Neighbor applied the product to his land and reporter believes it entered his water
17. Provide any additional details about the incident
(eg. description of the frequency and severity of the symptoms
1-32536863- The reporter, a rancher, indicated that his cattle were exposed to a registrant fungicide containing the active ingredient Chlorothalonil and to two non-registrant products containing the active ingredients endosulfan and triadmefon. The reporter indicates that he spoke with the (name) State Department of Agriculture and learned that his neighbor applied these products to his land approximately 7.5 months prior to initial contact with the registrant. The reporter did not witness his cattles exposure to the products but indicates that he suspects the registrant and non-registrant products entered the water that his beef cattle were drinking and about two months after product application fifteen of his adult beef cattle and three of his 6 month old beef cattle were noted to be losing weight despite a good appetite, they appeared disorientated and they were unable to rise. Per the reporter the illness lasted about 3-4 days and ended in the death of the affected cattle. The reporter indicated that the veterinarian was unable to diagnose a cause for the illness and death of his cattle. One animal was submitted for necropsy to (name) State University. The reporter indicates that on necropsy they found worms and additional tests may be pending. The reporter was advised that if ingested in large enough amounts the product may cause transient irritation to the gastrointestinal tract but the described symptoms and the time frame in which they developed are not consistent with product exposure. The active ingredient of the registrant product has a low bioaccumulation potential, does not persist in soil or water, has low mobility in soil and sinks in water after 24 hours. The reporter was further advised to contact the companies of the non-registrant products for information on those products. No further information is available.
To be determined by Registrant
18. Severity classification (if there is more than 1 possible classification
Death
19. Provide supplemental information here
Subform III: Domestic Animal Incident Report
1. Source of Report
Animal's Owner
2. Type of animal affected
Cow / Vache
3. Breed
Beef cattle
4. Number of animals affected
3
5. Sex
Unknown
6. Age (provide a range if necessary )
0.5
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
>1 mo <=2 mos / > 1 mois < = 2 mois
11. List all symptoms
System
- Gastrointestinal System
- Symptom - Weight loss
- Nervous and Muscular Systems
- Symptom - Difficulty getting up
- Symptom - Disorientation
- General
- Symptom - Death
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?
No
14. b) How long was the animal hospitalized?
15. Outcome of the incident
Died
16. How was the animal exposed?
Other / Autre
specify Neighbor applied to his land and reporter believes it entered his water
17. Provide any additional details about the incident
(eg. description of the frequency and severity of the symptoms
1-32536863- The reporter, a rancher, indicated that his cattle were exposed to a registrant fungicide containing the active ingredient Chlorothalonil and to two non-registrant products containing the active ingredients endosulfan and triadmefon. The reporter indicates that he spoke with the Washington State Department of Agriculture and learned that his neighbor applied these products to his land approximately 7.5 months prior to initial contact with the registrant. The reporter did not witness his cattles exposure to the products but indicates that he suspects the registrant and non-registrant products entered the water that his beef cattle drink. About two months after product application fifteen of his adult beef cattle and three of his 6 month old beef cattle were noted to be losing weight despite a good appetite, they appeared disorientated and they were unable to rise. Per the reporter the illness lasted about 3-4 days and ended in the death of the affected cattle. The reporter indicated that the veterinarian was unable to diagnose a cause for the symptoms and the death of his cattle. One animal was submitted for necropsy to (name) State University. The reporter indicates that on necropsy they found worms and additional tests may be pending. The reporter was advised that if ingested in large enough amounts the product may cause transient irritation to the gastrointestinal tract but the described symptoms and the time frame in which they developed are not consistent with product exposure. The active ingredient of the registrant product has a low bioaccumulation potential, does not persist in soil or water, has low mobility in soil and sinks in water after 24 hours. The reporter was further advised to contact the companies of the non-registrant products for information on those products. No further information is available.
To be determined by Registrant
18. Severity classification (if there is more than 1 possible classification
Death
