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Consumer Product Safety

Incident Report

Subform I: General Information

1. Report Type.

New incident report

Incident Report Number: 2013-6445

2. Registrant Information.

Registrant Reference Number: 130097062

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.


5. Location of incident.


Prov / State: LOUISIANA

6. Date incident was first observed.


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.


PMRA Registration No.       PMRA Submission No.       EPA Registration No. 2724-274

Product Name: Starbar Golden Malrin Fly Bait 1% Methomyl

  • Active Ingredient(s)
    • (Z)-9-TRICOSENE
      • Guarantee/concentration .049 %
      • Guarantee/concentration 1 %

7. b) Type of formulation.


Application Information

8. Product was applied?


9. Application Rate.


10. Site pesticide was applied to (select all that apply).

Site: Res. - Out Home / Rés - à l'

11. Provide any additional information regarding application (how it was applied, amount applied, the size of the area treated etc).

The owner scattered some of the bait product in the car port and suspected that the dog was able to accidentally ingest some of it on July 15, 2013.

To be determined by Registrant

12. In your opinion, was the product used according to the label instructions?


Subform III: Domestic Animal Incident Report

1. Source of Report

Medical Professional

2. Type of animal affected

Dog / Chien

3. Breed

Miniature Poodle

4. Number of animals affected


5. Sex


6. Age (provide a range if necessary )


7. Weight (provide a range if necessary )



8. Route(s) of exposure


9. What was the length of exposure?

>2 hrs <=8 hrs / >2 h <=8 h

10. Time between exposure and onset of symptoms

>30 min <=2 hrs / >30 min <=2 h

11. List all symptoms


  • Nervous and Muscular Systems
    • Symptom - Recumbent
    • Specify - Lateral Recumbency
  • Respiratory System
    • Symptom - Cyanosis
  • Cardiovascular System
    • Symptom - Bradycardia
  • General
    • Symptom - Death
  • Blood
    • Symptom - Hypoglycemia
    • Specify - low serum glucose measure

12. How long did the symptoms last?

Persisted until death

13. Was medical treatment provided? Provide details in question 17.


14. a) Was the animal hospitalized?


14. b) How long was the animal hospitalized?


Hour(s) / Heure(s)

15. Outcome of the incident


16. How was the animal exposed?

Accidental ingestion/Ingestion accident.

17. Provide any additional details about the incident

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

On July 15, 2013 the owner suspected that the dog had accidentally ingested some of the bait product and took the dog to an emergency veterinarian, where it was noted that the dog was laterally recumbent, had cyanosis, was bradycardic with a heart rate recorded as 50.0 beats per minute (bpm), and had low serum glucose measured at 43.0 milligrams per deciliter (mg/dL). The emergency veterinarian gave the dog fluid therapy, gave the dog 0.02 milligrams per kilogram (mg/kg) of Atropine with no effect, gave the dog Hetastarch, gave the dog dextrose, and performed endotracheal intubation. Later that morning the emergency veterinarian contacted the Animal Product Safety Service (APSS) to obtain help. The APSS veterinarian stated that Methomyl is a highly toxic anticholinesterase insecticide that is rapidly absorbed orally, with clinical signs expected within minutes of ingestion. The APSS veterinarian said that clinical signs could be muscarinic (salivation, miosis, bradycardia, and dyspnea due to increased bronchial secretions), nicotinic (tremors, weakness, and paralysis), and related to the central nervous system (CNS) in the form of seizures. The APSS veterinarian recommended that the emergency veterinarian treat the cholinergic toxicity by giving 0.1 mg/kg of Atropine with half given intravenously (IV) and the rest intramuscularly (IM), provide supportive care, and call back with questions.

To be determined by Registrant

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


19. Provide supplemental information here

On July 17, 2013 an APSS assistant called the emergency veterinarian to update the case. The emergency veterinarian stated that the dog died on the morning of July 15, 2013. A necropsy was not available. Not labelled for use in places where animals are expected to be present.