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Consumer Product Safety

Incident Report

Subform I: General Information

1. Report Type.

New incident report

Incident Report Number: 2013-6593

2. Registrant Information.

Registrant Reference Number: A130109299

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

Address: Suite 2100, 450 - 1 Street S.W.

City: Calgary

Prov / State: Alberta

Country: Canada

Postal Code: T2P 5H1

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

Domestic Animal

4. Date registrant was first informed of the incident.

06-AUG-13

5. Location of incident.

Country: UNITED STATES

Prov / State: TEXAS

6. Date incident was first observed.

15-MAY-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.       PMRA Submission No.       EPA Registration No. 62719--552

Product Name: Remedy Ultra Herbicide

  • Active Ingredient(s)
    • TRICLOPYR
      • Guarantee/concentration 60.5

PMRA Registration No.       PMRA Submission No.       EPA Registration No. 62719-83

Product Name: Reclaim Herbicide

  • Active Ingredient(s)
    • CLOPYRALID
      • Guarantee/concentration 40.9

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: Other / Autre

Préciser le type: pasture

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

The exposure was accidental, and occurred at animal owner field pasture. The owner treated the lawn with these two products mid-may. They use them every year.

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

Other / Autre

specify goats

3. Breed

Caprine Unspecified group of 255 (Caprine)

4. Number of animals affected

30

5. Sex

Unknown

6. Age (provide a range if necessary )

Unknown

7. Weight (provide a range if necessary )

Unknown

8. Route(s) of exposure

Skin

Oral

9. What was the length of exposure?

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

10. Time between exposure and onset of symptoms

>2 mos <=6 mos / > 2 mois < = 6 mois

11. List all symptoms

System

  • Gastrointestinal System
    • Symptom - Diarrhea
  • Eye
    • Symptom - Irritated eye
    • Specify - pink eye
  • General
    • Symptom - Death

12. How long did the symptoms last?

Unknown / Inconnu

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?

Contact treat.area/Contact surf. traitée

17. Provide any additional details about the incident

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

There has been 25-30 juvenile goats that have passed away in the past 2 months. Some started showing symptoms before the product was applied. There has been no other exposures or changes. The only thing else the goats get is deworming medications (dectomax). No veterinarians have evaluated the goats and no necropsies have been performed. As per Dr. [name], if the pesticides were used properly we would not expect anything serious from this type of exposure. Would expect GI issues within a couple of days, i.e. diarrhea, inappetence etc., but nothing life threatening. Since some signs were noted before the recent exposure took place, it indicates that there may be another cause.


To be determined by Registrant

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

Death

19. Provide supplemental information here

Because the time course was not consistent, the amount was unknown consistent, and the findings were somewhat consistent, this substance was considered to have doubtful likelihood of causing the clinical situation.