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Consumer Product Safety

Incident Report

Subform I: General Information

1. Report Type.

New incident report

Incident Report Number: 2016-4340

2. Registrant Information.

Registrant Reference Number: 160109726

Registrant Name (Full Legal Name no abbreviations): Farnam Companies, Inc.

Address: 301 W. Osborn Road

City: Phoenix

Prov / State: Arizona

Country: USA

Postal Code: 85013

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

Domestic Animal

4. Date registrant was first informed of the incident.

26-JUL-16

5. Location of incident.

Country: UNITED STATES

Prov / State: OHIO

6. Date incident was first observed.

24-JUL-16

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. 270-324

Product Name: Adams Flea and Tick Cleansing Shampoo for Cats and Kittens

  • Active Ingredient(s)
    • PIPERONYL BUTOXIDE
      • Guarantee/concentration .75 %
    • PYRETHRINS
      • Guarantee/concentration .075 %
    • PYRIPROXYFEN
      • Guarantee/concentration .086 %

7. b) Type of formulation.

Liquid

Application Information

8. Product was applied?

Yes

9. Application Rate.

2

Other Units: tablespoons (tbsp)

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 24, 2016 the owner applied the product onto his two cats for prevention.

To be determined by Registrant

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

Yes

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

Male

6. Age (provide a range if necessary )

11.0

7. Weight (provide a range if necessary )

15.0

lbs

8. Route(s) of exposure

Skin

9. What was the length of exposure?

Unknown / Inconnu

10. Time between exposure and onset of symptoms

<=30 min / <=30 min

11. List all symptoms

System

  • Eye
    • Symptom - Glazed eye
  • General
    • Symptom - Weakness
    • Symptom - Death

12. How long did the symptoms last?

Persisted until death

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?

Treatment / Traitement

17. Provide any additional details about the incident

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

On July 24, 2016 shortly after the owner bathed the cat, the cat developed glazed eyes, followed by weakness, and then a short time later the cat died. On July 26, 2016 the owner contacted the Animal Product Safety Service (APSS) as he was concerned after reviewing product reviews online that the product can cause heart attacks in cats and death. The APSS veterinarian stated products labeled for cats generally have low concentrations of pyrethroids. The APSS veterinarian also stated if product is groomed off and ingested, can see taste reaction (hypersalivation, nausea) and a dermal exposure can result in dermal irritation. The APSS veterinarian further stated death is not expected. The APSS veterinarian additionally stated this will not have cardiac effects, even with severe overdose. The APSS veterinarian finally stated there is no mechanism for it to cause heart damage or heart attacks and it affects channels in the nerve cells (sodium channels) and will result in central nervous system (CNS) signs for the insect, and potentially with severe enough overdose in mammals as well. A necropsy was not available as the cat's body had been buried in the yard for two days and the owner was not interested in a necropsy.


To be determined by Registrant

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

Death

19. Provide supplemental information here

The APSS veterinarian stated that the substance was not considered to be related to causing the clinical situation.

Subform III: Domestic Animal Incident Report

1. Source of Report

Animal's Owner

2. Type of animal affected

Cat / Chat

3. Breed

Domestic Longhair

4. Number of animals affected

1

5. Sex

Male

6. Age (provide a range if necessary )

8.0

7. Weight (provide a range if necessary )

20.0

lbs

8. Route(s) of exposure

Skin

9. What was the length of exposure?

Unknown / Inconnu

10. Time between exposure and onset of symptoms

<=30 min / <=30 min

11. List all symptoms

System

  • Eye
    • Symptom - Glazed eye
  • General
    • Symptom - Weakness
    • Symptom - Death

12. How long did the symptoms last?

Persisted until death

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?

Treatment / Traitement

17. Provide any additional details about the incident

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

On July 24, 2016 shortly after the owner bathed the cat, the cat developed glazed eyes, followed by weakness, and then a short time later the cat died. On July 26, 2016 the owner contacted the Animal Product Safety Service (APSS) as he was concerned after reviewing product reviews online that the product can cause heart attacks in cats and death. The APSS veterinarian stated products labeled for cats generally have low concentrations of pyrethroids. The APSS veterinarian also stated if product is groomed off and ingested, can see taste reaction (hypersalivation, nausea) and a dermal exposure can result in dermal irritation. The APSS veterinarian further stated death is not expected. The APSS veterinarian additionally stated this will not have cardiac effects, even with severe overdose. The APSS veterinarian finally stated there is no mechanism for it to cause heart damage or heart attacks and it affects channels in the nerve cells (sodium channels) and will result in central nervous system (CNS) signs for the insect, and potentially with severe enough overdose in mammals as well. A necropsy was not available as the cat's body had been buried in the yard for two days and the owner was not interested in a necropsy.


To be determined by Registrant

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

Death

19. Provide supplemental information here

The APSS veterinarian stated that the substance was not considered to be related to causing the clinical situation.