Incident Report

Subform I: General Information

1. Report Type.

New incident report

Incident Report Number: 2019-0826

2. Registrant Information.

Registrant Reference Number: x

Registrant Name (Full Legal Name no abbreviations): x

Address: x

City: x

Prov / State: x

Country: x

Postal Code: X

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

Domestic Animal

4. Date registrant was first informed of the incident.

5. Location of incident.

Country: CANADA

Prov / State: ONTARIO

6. Date incident was first observed.

21-JAN-19

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)

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PMRA Registration No. 28353      PMRA Submission No.       EPA Registration No.

Product Name: Wilson's Predator Rat and Mouse Killer Pellets

• Active Ingredient(s)
  • DIFETHIALONE

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PMRA Registration No. 29427      PMRA Submission No.       EPA Registration No.

Product Name: Wilson Predator Rat and Mouse Killer

• Active Ingredient(s)
  • CELLULOSE (FROM POWDERED CORN COBS)

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7. b) Type of formulation.

Bait

Application Information

8. Product was applied?

Unknown

9. Application Rate.

Unknown

10. Site pesticide was applied to (select all that apply).

Site: Unknown / Inconnu

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

The following was reported: My 10 year old female American Cocker Spaniel, (name), was at our neighbours who were dog sitting for 2 nights. She accidentally ingested Wilson Predator Rat and Mouse Killer pellets, approx. 1/3-1/2 of a 60 g bag and was taken to a Veterinary Emergency Clinic. Within half an hour of ingestion, vomiting was induced with Apomorphine 0.03mg/kg IV and Vitamin K1 3.5 mg/kg SQ was given. Dx:Rodenticide Ingestion DIFETHIALONE. Second Generation Rodenticide. Sent home on Vitamin K1 2 mg/kg po q12hrs. PCP # 29427 with Cellulose from powdered corn cobs 42.75%, 6 X60g packets is what the neighbour says he bought and placed in his second floor laundry room and said he was going to disperse it ¿ by laying it out in heaps ¿ in the attic, without gloves or mask or in a bait station, which I specifically asked regarding, realizing this is a second generation, highly toxic ¿super warfarin¿. The Emergency Veterinary Report states " Dx-Rodenticide ingestion ( DIFETHIALONE ingestion)¿ which the vet, Dr.(name), said he read right off the package the neighbours brought in of rodenticide, so I am not clear about whether the PCP # given was indeed the one the vet was presented with.

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

American Cocker Spaniel

4. Number of animals affected

1

5. Sex

Female

6. Age (provide a range if necessary )

10

7. Weight (provide a range if necessary )

Unknown

8. Route(s) of exposure

Oral

9. What was the length of exposure?

Unknown / Inconnu

10. Time between exposure and onset of symptoms

Unknown / Inconnu

11. List all symptoms

System

• Cardiovascular System
  • Symptom - Other
  • Specify - cerebrovascular event NOS

• General
  • Symptom - Lethargy
  • Symptom - Polydipsia

• Respiratory System
  • Symptom - Panting

• Gastrointestinal System
  • Symptom - Loss of appetite

• General
  • Symptom - Other
  • Specify - exercise intolerance
  • Symptom - Vocalizing

• Nervous and Muscular Systems
  • Symptom - Paresis
  • Specify - back leg paresis

12. How long did the symptoms last?

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

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

Euthanised / Euthanasie

16. How was the animal exposed?

Accidental ingestion/Ingestion accident.

17. Provide any additional details about the incident

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

The following was reported: (Name) was very thirsty, especially the past 2 weeks and had exercise intolerance, panting, decreased appetite and lethargy. Increased night time vocalization, often wanting more water. She had intermittent back leg paresis several times over 2 weeks. On Feb.16th, 2019 (name) was collapsed in her bed on her R side and wouldn't get up, lift her head or move at all for half an hour but her eyes were open. Took her to the vet. She was euthanized after we were told she had a major cerebrovascular event. When I called Sure - Gro IP Inc/ Lic. Premier Tech Home and Garden Inc, the number provided on the package the neighbour told me was the correct one, I was told the PCP # was 28353 containing Difethialone and I spoke to numerous people until finally I spoke with a Sure - Gro vet, Dr. (name), who was adamant my dog did not die from their second generation rodenticide and that "it only kills rodents". Apparently, the "toxic ingestion" amount of this product, according to Dr. (name) and Sure- Gro associates, is 0.02mg/kg. That amounts to 13.29312 g of this product being ingested to classify as "the toxic threshold", so the Sure-Gro associates explained to me, according to their "calculator". (Name) was reported to have consumed,1/3-1/2 a packet of pellets which is 20 g - 30 g of rodenticide, with (name)'s weight of 8.3 kg documented on the Report. She consumed well over the toxic threshold of this pesticide by 50% - 114%, potentially consuming more than double the toxic threshold of second generation Rodenticide.

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To be determined by Registrant

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

Not Applicable

19. Provide supplemental information here