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Consumer Product Safety

Incident Report

Subform I: General Information

1. Report Type.

New incident report

Incident Report Number: 2013-7291

2. Registrant Information.

Registrant Reference Number: 130140613

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.

07-OCT-13

5. Location of incident.

Country: CANADA

Prov / State: ONTARIO

6. Date incident was first observed.

25-SEP-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. 19211      PMRA Submission No.       EPA Registration No.

Product Name: Zodiac Integral Buckle Flea and Tick Collar For Dogs

  • Active Ingredient(s)
    • PROPOXUR

PMRA Registration No. 26413      PMRA Submission No.       EPA Registration No.

Product Name: Zodiac Double Action Flea And Tick Shampoo For Dogs And Cats

  • Active Ingredient(s)
    • (S)-METHOPRENE
    • PIPERONYL BUTOXIDE
    • PYRETHRINS

PMRA Registration No. 17189      PMRA Submission No.       EPA Registration No.

Product Name: Zodiac Flea and Tick Powder

  • Active Ingredient(s)
    • CARBARYL

PMRA Registration No. 21744      PMRA Submission No.       EPA Registration No.

Product Name: Zodiac Endalsect Flea Spray For Dogs and Cats

  • Active Ingredient(s)
    • (S)-METHOPRENE
    • N-OCTYL BICYCLOHEPTENE DICARBOXIMIDE
    • PIPERONYL BUTOXIDE
    • PYRETHRINS

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: 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 September 16, 2013 the owner placed the flea and tick collar on the dog to treat for fleas. The dog still had fleas, so on September 23, 2013 the owner bathed the dog with the shampoo product, applied the flea and tick powder, and sprayed the dog with the flea spray product.

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

Animal's Owner

2. Type of animal affected

Dog / Chien

3. Breed

Chihuahua

4. Number of animals affected

1

5. Sex

Female

6. Age (provide a range if necessary )

3.0

7. Weight (provide a range if necessary )

1.5

lbs

8. Route(s) of exposure

Skin

9. What was the length of exposure?

Unknown / Inconnu

10. Time between exposure and onset of symptoms

>1 wk <=1 mo / > 1 sem < = 1 mois

11. List all symptoms

System

  • Nervous and Muscular Systems
    • Symptom - Recumbent
    • Specify - Lateral Recumbency
    • Symptom - Seizure
    • Symptom - Other
    • Specify - Neuropathy
    • Symptom - Unresponsive

12. How long did the symptoms last?

Unknown / Inconnu

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

Yes

14. a) Was the animal hospitalized?

Unknown

14. b) How long was the animal hospitalized?

15. Outcome of the incident

Unknown/Inconnu

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 September 25, 2013 the owner's child found the dog laterally recumbent and unresponsive; the dog then started to have seizures; the owner stated that the dog was having seizures every other day. Since that time, the dog had some sort of neuropathy, seeming unconscious of how much food she was eating and eating to the point of vomiting. The owner started providing nutritional support to the dog that day by giving food and water via syringe. A short time after the dog's signs developed the owner took the dog to the veterinarian, where a chemistry profile was done; the results revealed evidence of pesticides in the blood and that there was no liver damage. On October 7, 2013 the owner contacted the Animal Product Safety Service (APSS) to obtain help. The APSS veterinarian stated that labeled use of all of the agents would be considered safe and that the noted condition of the dog was not compatible with the labeled use of the products; it is unknown whether the owner consulted a veterinarian prior to the use of all of the flea and tick products. The APSS technician recommended that the owner have her regular veterinarian call for information.


To be determined by Registrant

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

Moderate

19. Provide supplemental information here

The APSS veterinarian stated that all of the flea and tick products were considered to have a doubtful likelihood of causing the clinical situation.