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Incident Report
Subform I: General Information
1. Report Type.
New incident report
Incident Report Number: 2013-7228
2. Registrant Information.
Registrant Reference Number: 130095546
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.
12-JUL-135. Location of incident.
Country: CANADA
Prov / State: QUEBEC
6. Date incident was first observed.
11-JUL-13Product 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. 26494 PMRA Submission No. EPA Registration No.
Product Name: Zodiac Powerspot Flea And Tick Control For Dogs Under 14 kg
- Active Ingredient(s)
- (S)-METHOPRENE
- PERMETHRIN
7. b) Type of formulation.
Application Information
8. Product was applied?
Yes
9. Application Rate.
1Units: mL
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).
On July 11, 2013 the owner inappropriately applied the dog product to the cats to prevent fleas.To be determined by Registrant
12. In your opinion, was the product used according to the label instructions?
No
Subform III: Domestic Animal Incident Report
1. Source of Report
Animal's Owner
2. Type of animal affected
Cat / Chat
3. Breed
Domestic Shorthair
4. Number of animals affected
1
5. Sex
Female
6. Age (provide a range if necessary )
13.0
7. Weight (provide a range if necessary )
8.0
lbs
8. Route(s) of exposure
Skin
9. What was the length of exposure?
>8 hrs <= 24 hrs / >8 h <= 24 h
10. Time between exposure and onset of symptoms
>8 hrs <=24 hrs / > 8 h < = 24 h
11. List all symptoms
System
- Nervous and Muscular Systems
- Symptom - Ataxia
- Symptom - Fasciculations
- General
- Symptom - Hyperactivity
- Symptom - Hiding
- Skin
- Symptom - Hair loss
12. How long did the symptoms last?
>3 days <=1 wk / >3 jours <=1 sem
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
Fully Recovered / Complètement rétabli
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
On July 11, 2013 the owner noticed that the cat was symptomatic. On July 12, 2013 the owner bathed the cat with a dog shampoo. About an hour later the owner noticed that the cat was no longer having fasciculations or being hyperactive, but the cat remained ataxic and had started hiding. Later that morning the owner contacted the Animal Product Safety Service (APSS) to obtain help. The APSS veterinarian stated that an exposure in a cat to concentrated permethrins could result in significant central nervous system (CNS) signs, tremors, and seizures. The APSS assistant recommended that the owner bath the cat with a mild liquid dish washing detergent (LDWD); monitor the cat closely for CNS signs of twitching, shaking, and fasciculation; take the cat to the veterinarian; have the veterinarian call for information; and call back with questions.
To be determined by Registrant
18. Severity classification (if there is more than 1 possible classification
Moderate
19. Provide supplemental information here
On July 19, 2013 an APSS assistant called the owner to update the case. The owner stated that on July 12, 2013 she also noticed that the cat had an isolated episode of alopecia. At an unknown time the owner bathed the cat with a liquid dish washing detergent (LDWD) and monitored that cat closely for CNS signs. The owner stated that the cat had fully recovered on July 15, 2013.
Subform III: Domestic Animal Incident Report
1. Source of Report
Animal's Owner
2. Type of animal affected
Cat / Chat
3. Breed
Domestic Shorthair
4. Number of animals affected
1
5. Sex
Female
6. Age (provide a range if necessary )
10.0
7. Weight (provide a range if necessary )
8.0
lbs
8. Route(s) of exposure
Skin
9. What was the length of exposure?
>8 hrs <= 24 hrs / >8 h <= 24 h
10. Time between exposure and onset of symptoms
>8 hrs <=24 hrs / > 8 h < = 24 h
11. List all symptoms
System
- Nervous and Muscular Systems
- Symptom - Ataxia
- Symptom - Fasciculations
12. How long did the symptoms last?
>3 days <=1 wk / >3 jours <=1 sem
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
Fully Recovered / Complètement rétabli
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
On July 11, 2013 the owner noticed that the cat was symptomatic. On July 12, 2013 the owner bathed the cat with a dog shampoo. About an hour later the owner noticed that the cat was no longer having fasciculations or being hyperactive, but the cat remained ataxic and had started hiding. Later that morning the owner contacted the Animal Product Safety Service (APSS) to obtain help. The APSS veterinarian stated that an exposure in a cat to concentrated permethrins could result in significant central nervous system (CNS) signs, tremors, and seizures. The APSS assistant recommended that the owner bath the cat with a mild liquid dish washing detergent (LDWD); monitor the cat closely for CNS signs of twitching, shaking, and fasciculation; take the cat to the veterinarian; have the veterinarian call for information; and call back with questions.
To be determined by Registrant
18. Severity classification (if there is more than 1 possible classification
Moderate
19. Provide supplemental information here
On July 19, 2013 an APSS assistant called the owner to update the case. The owner stated that on July 12, 2013 she also noticed that the cat had an isolated episode of alopecia. At an unknown time the owner bathed the cat with a liquid dish washing detergent (LDWD) and monitored that cat closely for CNS signs. The owner stated that the cat had fully recovered on July 15, 2013.
