Incident Report

Subform I: General Information

1. Report Type.

New incident report

Incident Report Number: 2023-4537

2. Registrant Information.

Registrant Reference Number: ProPharma Group case #: 2023SCPC00071142-1

Registrant Name (Full Legal Name no abbreviations): Syngenta Canada Inc.

Address: 140 Research Lane, Research Park

City: Guelph

Prov / State: Ontario

Country: Canada

Postal Code: N1G4Z3

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

Human

4. Date registrant was first informed of the incident.

28-JUL-23

5. Location of incident.

Country: CANADA

Prov / State: ONTARIO

6. Date incident was first observed.

27-JUL-23

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. 27517      PMRA Submission No.       EPA Registration No. Unknown

Product Name: ALLEGRO 500F AGRICULTURAL FUNGICIDE

• Active Ingredient(s)
  • FLUAZINAM

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

Product Name: ALTACOR

• Active Ingredient(s)
  • CHLORANTRANILIPROLE

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7. b) Type of formulation.

Application Information

8. Product was applied?

Yes

9. Application Rate.

1

Units: L/ha

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

Site: Agricultural-Outdoor/Agricole-extérieur

Préciser le type: Apples

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

2023SCPC00071142-1- The pesticide was applied to 70 acres of apples at a rate of 1 liter per hectare, 500L of dilution per hectare. Altacore and the micronutrient magnesium from AgroK were applied at the same time using an Airblast orchard sprayer. The weather conditions were still. The same acreage had been sprayed with Allegro, Altacore and calcium two weeks previous in a similar manner.

To be determined by Registrant

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

Unknown

Subform II: Human Incident Report (A separate form for each person affected)

1. Source of Report.

Other

2. Demographic information of data subject

Sex: Male

Age: >19 <=64 yrs / >19 <=64 ans

3. List all symptoms, using the selections below.

System

• General
  • Symptom - Swelling
  • Specify - Facial swelling
  • Symptom - Swelling
  • Specify - Throat swelling

• Eye
  • Symptom - Swollen eye

4. How long did the symptoms last?

Unknown / Inconnu

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

Yes

6. a) Was the person hospitalized?

No

6. b) For how long?

7. Exposure scenario

Occupational

8. How did exposure occur? (Select all that apply)

Contact with treated area

Amount of time between application and contact 3

Day(s) / Jour(s)

What was the activity? Thinning fruit

9. If the exposure occured during application or re-entry, what protective clothing was worn? (select all that apply)

Long-sleeve shirt

Long pants

Chemical resistant gloves

10. Route(s) of exposure.

Skin

11. What was the length of exposure?

Unknown / Inconnu

12. Time between exposure and onset of symptoms.

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

13. Provide any additional details about the incident (eg. description of the frequency and severity of the symptoms, type of medical treatment, results from medical tests, outcome of the incident, amount of pesticide exposed to, etc.)

2023SCPC00071142-1- The reporter, a farmer, indicates exposure to a pesticide containing the active ingredient fluazinam. Approximately four weeks before the day of initial contact with the registrant, the reporter indicated their apple orchards were sprayed with the pesticide, then a three-day waiting period was observed before the orchard was entered and worked daily for another ten days. Approximately two weeks before the day of initial contact with the registrant, the reporter indicated their apple orchards were sprayed with the pesticide, then a three-day waiting period was observed before the orchard was entered and worked daily for approximately seven days. One day before the day of initial contact, a worker who had been in the orchard after both applications, contacted the reporter indicating his face was swollen, throat was swollen, and his eyes were swollen shut. The worker was immediately taken to an emergency department where he was treated with intravenous steroids and Benadryl. The worker was observed for an hour then discharged after being prescribed several days of oral Benadryl. On the day of initial contact, the reporter indicated the worker's face still had a small amount of swelling which the doctor had previously indicated should subside after a few days. The reporter was not available on follow-up call four days later. On follow-up five days later the reporter stated all of the patient's symptoms had resolved. No additional information is available.

To be determined by Registrant

14. Severity classification.

Minor

15. Provide supplemental information here.