Health Canada
Symbol of the Government of Canada
Consumer Product Safety

Incident Report

Subform I: General Information

1. Report Type.

New incident report

Incident Report Number: 2013-4266

2. Registrant Information.

Registrant Reference Number: 1-34404933

Registrant Name (Full Legal Name no abbreviations): The Hartz Mountain Corporation

Address: 400 Plaza Drive

City: Secaucus

Prov / State: New Jersey

Country: USA

Postal Code: 07094-3688

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

Domestic Animal

4. Date registrant was first informed of the incident.

24-JUL-13

5. Location of incident.

Country: UNITED STATES

Prov / State: SOUTH DAKOTA

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. 2596-78

Product Name: Ultra-guard Flea/Tick Powder for Cats

  • Active Ingredient(s)
    • TETRACHLORVINPHOS
      • Guarantee/concentration 3.3 %

7. b) Type of formulation.

Dust

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).

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

Cat / Chat

3. Breed

Domestic Longhair

4. Number of animals affected

1

5. Sex

Male

6. Age (provide a range if necessary )

1.5

7. Weight (provide a range if necessary )

11

lbs

8. Route(s) of exposure

Skin

9. What was the length of exposure?

Unknown / Inconnu

10. Time between exposure and onset of symptoms

Unknown / Inconnu

11. List all symptoms

System

  • General
    • 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

1-34404933 - The reporter, a veterinarian, indicated that three cats were exposed to an insecticidal powder containing the active ingredient tetrachlorvinphos. The reporter indicated that the pet owner applied the powder to their 1.5 year old, 11 pound, male domestic longhair (Subform III #1) to their male domestic shorthair (Subform III #2 ) and to a 3 year old, female cat one day prior to initial contact with the registrant. The pet owners also applied a non-registrant flea and tick carpet treatment with unknown active ingredients inside the home one day prior to initial contact with the registrant. Shortly before the initial call the reporter indicated that the pet owner had arrived at the clinic with all three cats and the 1.5 year old domestic longhair (Subform III #1) was dead on arrival. The reporter noted that this cat was heavily infested with fleas. The male domestic longhair (Subform III #2) was lethargic, had pale gums, a packed cell volume of 8% and was heavily infested with fleas. This cat declined rapidly during the initial physical exam and was treated with atropine and intravenous fluids but died shortly after presentation. The 3-year-old, female cat was not as severely infested with fleas, had a packed cell volume of 40% and had no symptoms at presentation. On follow-up call, two days later, the reporter stated that the female cat was given a Capstar and was sent home at the end of the day as it never developed any symptoms. The reporter was advised that anemia is not consistent with exposure to this product and symptoms are most consistent with a severe flea infestation. 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

Medical Professional

2. Type of animal affected

Cat / Chat

3. Breed

Domestic Longhair

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

Unknown / Inconnu

11. List all symptoms

System

  • General
    • Symptom - Lethargy
  • Blood
    • Symptom - Anemia
  • General
    • Symptom - Death
    • Symptom - Pale mucous membrane colour
    • Specify - pale gums

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?

Treatment / Traitement

17. Provide any additional details about the incident

(eg. description of the frequency and severity of the symptoms

1-34404933 - The reporter, a veterinarian, indicated that three cats were exposed to an insecticidal powder containing the active ingredient tetrachlorvinphos. The reporter indicated that the pet owner applied the powder to their 1.5 year old, 11 pound, male domestic longhair (Subform III #1) to their male domestic shorthair (Subform III #2 ) and to a 3 year old, female cat one day prior to initial contact with the registrant. The pet owners also applied a non-registrant flea and tick carpet treatment with unknown active ingredients inside the home one day prior to initial contact with the registrant. Shortly before the initial call the reporter indicated that the pet owner had arrived at the clinic with all three cats and the 1.5 year old domestic longhair (Subform III #1) was dead on arrival. The reporter noted that this cat was heavily infested with fleas. The male domestic longhair (Subform III #2) was lethargic, had pale gums, a packed cell volume of 8% and was heavily infested with fleas. This cat declined rapidly during the initial physical exam and was treated with atropine and intravenous fluids but died shortly after presentation. The 3-year-old, female cat was not as severely infested with fleas, had a packed cell volume of 40% and had no symptoms at presentation. On follow-up call, two days later, the reporter stated that the female cat was given a Capstar and was sent home at the end of the day as it never developed any symptoms. The reporter was advised that anemia is not consistent with exposure to this product and symptoms are most consistent with a severe flea infestation. 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