Health Canada
Symbol of the Government of Canada
Consumer Product Safety

Incident Report

Subform I: General Information

1. Report Type.

New incident report

Incident Report Number: 2013-7295

2. Registrant Information.

Registrant Reference Number: 130144066

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.

14-OCT-13

5. Location of incident.

Country: CANADA

Prov / State: ONTARIO

6. Date incident was first observed.

14-OCT-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. 21744      PMRA Submission No.       EPA Registration No.

Product Name: Zodiac Flea and Tick Spray For Dogs and Cats

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

PMRA Registration No. 25695      PMRA Submission No.       EPA Registration No.

Product Name: Zodiac Premise 2000 Flea Spray

  • Active Ingredient(s)
    • (S)-METHOPRENE
    • PERMETHRIN

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: Other / Autre

Préciser le type: Animal and Residential - Inside Home

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

On October 14, 2013 the owner sprayed 2 cats with the flea and tick spray to treat for fleas. Later that day, both cats may have been exposed via an unknown route to a Premise flea spray the owner used in her home.

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

Cat / Chat

3. Breed

Domestic Mediumhair

4. Number of animals affected

1

5. Sex

Male

6. Age (provide a range if necessary )

3.0

7. Weight (provide a range if necessary )

9.0

lbs

8. Route(s) of exposure

Skin

Unknown

9. What was the length of exposure?

Unknown / Inconnu

10. Time between exposure and onset of symptoms

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

11. List all symptoms

System

  • General
    • Symptom - Licking
  • Eye
    • Symptom - Pupil dilation
  • Nervous and Muscular Systems
    • Symptom - Shaking
    • Specify - Paw Shaking
  • Respiratory System
    • Symptom - Difficulty Breathing

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?

Yes

14. b) How long was the animal hospitalized?

Unknown

15. Outcome of the incident

Not recovered / Non rétabli

16. How was the animal exposed?

Other / Autre

specify Treatment and Contact with treated area

17. Provide any additional details about the incident

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

On October 14, 2013 the owner noticed that the cat was symptomatic. Later that evening the owner contacted the Animal Product Safety Service (APSS) to obtain help. The APSS veterinarian stated that the concern with exposure to both of the products was for taste reactions (hypersalivation and vomiting), dermal hypersensitivity reactions (pruritus, behavior changes, and restlessness), and lethargy. The APSS assistant recommended that the owner bathe the cat with liquid dish washing detergent (LDWD) and rinse well, monitor the cat at home, decontaminate the environment, call back with questions, and prevent further exposure to the Premise flea spray product by removing the cat from the area where it was used.


To be determined by Registrant

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

Moderate

19. Provide supplemental information here

On October 16, 2013 an APSS technician called the owner to update the case. The owner stated that on the evening of October 14, 2013 the cat began to have respiratory difficulty. The owner immediately took the cat to an emergency veterinary clinic, where oxygen and unknown medication was given to treat the cat. The cat's signs continue.

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 )

11.0

7. Weight (provide a range if necessary )

9.0

lbs

8. Route(s) of exposure

Skin

Unknown

9. What was the length of exposure?

Unknown / Inconnu

10. Time between exposure and onset of symptoms

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

11. List all symptoms

System

  • General
    • Symptom - Licking
  • Eye
    • Symptom - Pupil dilation
  • Nervous and Muscular Systems
    • Symptom - Shaking
    • Specify - Paw Shaking
  • Respiratory System
    • Symptom - Difficulty Breathing

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?

Yes

14. b) How long was the animal hospitalized?

Unknown

15. Outcome of the incident

Not recovered / Non rétabli

16. How was the animal exposed?

Other / Autre

specify Treatment and Contact with treated area

17. Provide any additional details about the incident

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

On October 14, 2013 the owner noticed that the cat was symptomatic. Later that evening the owner contacted the Animal Product Safety Service (APSS) to obtain help. The APSS veterinarian stated that the concern with exposure to both of the products was for taste reactions (hypersalivation and vomiting), and lethargy. The APSS assistant recommended that the owner bathe the cat with liquid dish washing detergent (LDWD) and rinse well, monitor the cat at home, decontaminate the environment, call back with questions, and prevent further exposure to the Premise flea spray product by removing the cat from the area where it was used.


To be determined by Registrant

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

Moderate

19. Provide supplemental information here

On October 16, 2013 an APSS technician called the owner to update the case. The owner stated that on the evening of October 14, 2013 the cat began to have respiratory difficulty. The owner immediately took the cat to an emergency veterinary clinic, where oxygen and unknown medication was given to treat the cat. The cat's signs continue.