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Consumer Product Safety

Incident Report

Subform I: General Information

1. Report Type.

New incident report

Incident Report Number: 2013-5916

2. Registrant Information.

Registrant Reference Number: SC1255962

Registrant Name (Full Legal Name no abbreviations): Dow AgroSciences Canada Inc.

Address: 450-1st Street SW, Suite 2100

City: Calgary

Prov / State: AB

Country: Canada

Postal Code: T2P 5H1

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

Human

4. Date registrant was first informed of the incident.

30-SEP-13

5. Location of incident.

Country: CANADA

Prov / State: ALBERTA

6. Date incident was first observed.

25-JUL-13

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. 27634      PMRA Submission No.       EPA Registration No.

Product Name: GRAZON HERBICIDE

  • Active Ingredient(s)
    • 2,4-D (PRESENT AS ACID)
    • PICLORAM (PRESENT AS AMINE SALTS)

PMRA Registration No. 29660      PMRA Submission No.       EPA Registration No. Unknown

Product Name: NUFARM ESTAPROP XT LIQUID HERBICIDE

  • Active Ingredient(s)
    • 2,4-D (PRESENT AS LOW VOLATILE ESTERS)
    • DICHLORPROP P-ISOMER (PRESENT AS 2-ETHYLHEXYL ESTER)

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: Agricultural-Outdoor/Agricole-extérieur

Préciser le type: Hay

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 II: Human Incident Report (A separate form for each person affected)

1. Source of Report.

Data Subject

2. Demographic information of data subject

Sex: Female

Age: >64 yrs / > 64 ans

3. List all symptoms, using the selections below.

System

  • General
    • Symptom - Joint pain

4. How long did the symptoms last?

Unknown / Inconnu

5. Was medical treatment provided? Provide details in question 13.

No

6. a) Was the person hospitalized?

No

6. b) For how long?

7. Exposure scenario

Occupational

8. How did exposure occur? (Select all that apply)

Application

9. If the exposure occured during application or re-entry, what protective clothing was worn? (select all that apply)

None

10. Route(s) of exposure.

Skin

11. What was the length of exposure?

>1 mo <= 6 mos / > 1 mois < = 6 mois

12. Time between exposure and onset of symptoms.

>1 mo <=2 mos / > 1 mois < = 2 mois

13. Provide any additional details about the incident (eg. description of the frequency and severity of the symptoms, type of medical treatment, results from medical tests, outcome of the incident, amount of pesticide exposed to, etc.)

9/30/2013: Caller states that she had applied products 2-4 times per week over the months of June, July and August. She does not recall any specific instance of exposure, but occasionally the hand held sprayer would leak diluted herbicide onto her hands. Sometimes she would not be able to wash her hands off until about 30 minutes later. Around July 25, she states she started to experience pain and stiffness in her left and right wrists as well as her left and right shoulder. This problem has waxed and waned every since July 25. She has seen a general practitioner who reportedly ran a blood test for arthritis but the caller has not heard back from this doctor. The doctor did not prescribe any medication but said it would be OK to use over the counter analgesics if the caller wanted. The doctor did not seem to think that the herbicides had anything to do with the joint pain. She was attempting to control wormwood in her hay crop.

To be determined by Registrant

14. Severity classification.

Moderate

15. 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. Even had casual or incidental contact with this product occurred with the product occasionally leaking on the hands, such illness would be unexpected. It is important to note that the user did not promptly decontaminate skin following exposure has instructed to do so on the label. Sustained skin contact with this herbicide is typically associated with dermatitis and this condition was not reported in this case. When considering the body of regulatory data and post-marketing data as well as the weight of scientific peer reviewed evidence on the active ingredients used in this product such a causal relationship appears to be scientifically implausible.