Déclaration d'incident

Sous-formulaire I: Renseignements généraux

1.Type de rapport.

Nouvelle déclaration d'incident

No de la demande: 2017-0446

2. Renseignements concernant le titulaire.

Numéro de référence du titulaire d'homologation: X

Nom du titulaire (nom légal complet, aucune abbréviation): X

Adresse: X

Ville: X

État: X

Pays: X

Code postal /Zip: X

3.Choisir le (les) sous-formulaire(s) correspondant à l'incident.

Incident chez l'humain

4. Date à laquelle le titulaire d'homologation a été informé pour la première fois de l'incident.

5. Lieu de l'incident.

Pays: CANADA

État: ONTARIO

6. Date de la première observation de l'incident.

Inconnu

Description du produit

7. a) Donner le nom de la matière active et, si disponibles, le numéro d'homologation et le nom du produit (incluant tous les mélanges). Si le produit n'est pas homologué, donner le numéro de la demande d'homologation.

Matière(s) active(s)

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ARLA No d'homologation 21053      ARLA No de la demande d'homologation       EPA No d'homologation.

Nom du produit: GARLON 4 HERBICIDE

• Matière active
  • TRICLOPYR, PRESENT AS BUTOXYETHYL ESTER

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7. b) Type de formulation.

Renseignments sur l'application

8. Est-ce que le produit a été appliqué?

Oui

9. Dose d'application.

Inconnu

10. Site d'application (choisir tout ce qui s'applique).

Site: Pub. Area - Outdoor/Zone publique - ext

11. Donner tout renseignement additionnel concernant l'application (comment le produit a été appliqué, la quantité utilisée, la superficie de la zone traitée, etc.)

Location of recent exposures: (in the middle of 2,000 acres of forest). Hydro has granted me a buffer zone of 5km, and a notification zone of 20 km. They apply herbicides to the trees and shrubs along both their transmission lines and their distribution lines. In 2013, Hydro applied Garlon on two transmission lines near my home. One transmission line traveled NE, E, SE and S of us. The other transmission line traveled NW, W, SW, and S of us. Consequently the only safe wind direction was the one coming directly from the north. The herbicide application lasted from near the end of April till the end of August. Once Hydro started its herbicide application, the outside air was contaminated with Garlon 4 vapours until the weather turned cold in the fall. During that entire time, I lived under house arrest. This means that I will no longer go outdoors until the weather turns cold and the pesticide can no longer vapourize. I will only go outdoors when the outside air quality has returned to being good and it is free from pesticide vapour. The wind direction and the wind speed are continually monitored, from the time of application till the weather turns cold in the fall. Also, the doors and windows are kept closed at all times - except for the times someone is entering or exiting the home. An intercom system is set up at the door, and no one opens the door until I am away from the door and in another room. The air purifiers are turned on and will run continuously 24/7 until the weather turns cold. Although we cannot smell Garlon in the air, my body detects the vapours and I severely react. In 2013, there were only two situations in which the outside air was safe for me: 1) when the wind was directly from the north and 2) when it was pouring rain.

À être déterminé par le titulaire

12. Selon vous, le produit a-t-il été utilisé en conformité avec le mode d'emploi de L'étiquette?

Inconnu

Sous-formulaire II : Incident chez l'humain (Obligation d'utiliser un formulaire séparé pour chaque personne affectée)

1. Source de la déclaration.

Personne affectée

2. Renseignement démographique sur la personne affectée

Sexe: Femme

Âge: >19 <=64 yrs / >19 <=64 ans

3. Énumérez tous les symptômes, au moyen des choix suivants.

Système

• General
  • Symptôme - Autre
  • Specify - Heightened sensitivity to chemicals
  • Symptôme - Douleur aux articulations
  • Specify - painful joints and muscles

• Systèmes nerveux et musculaire
  • Symptôme - Douleur musculaire

• Système rénal
  • Symptôme - Incontinence urinaire
  • Specify - Incontinence of bladder

• Système gastro-intestinal
  • Symptôme - Incontinence fécale
  • Specify - Incontinence of bowel
  • Symptôme - Selles de couleur anormale
  • Specify - Yellow stool

• Systèmes nerveux et musculaire
  • Symptôme - Difficulté de marcher
  • Symptôme - Spasme musculaire
  • Symptôme - Faiblesse musculaire
  • Specify - muscle weakness in all my muscles head to toe
  • Symptôme - Autre
  • Specify - Muscle contractures

• Peau
  • Symptôme - Sensation de brûlures à la peau
  • Specify - burning sensation of red patches on fee and legs below the knees
  • Symptôme - Brûlures (au 2ème ou 3ème degré)
  • Specify - chemical burns covered both my feet and both my legs from the knees down
  • Symptôme - Oedème
  • Specify - pitting edema in feet
  • Symptôme - Irritation de la peau
  • Specify - red patches began appearing on my feet that were very irritating
  • Symptôme - Peau pelée
  • Specify - Peeling and flaking skin

• General
  • Symptôme - Douleur

• Peau
  • Symptôme - Autre
  • Specify - pale yellow serum

4. Quelle a été la durée des symptômes?

>6 mos / > 6 mois

5. La personne affectée a-t-elle reçu des soins médicaux? Donner les détails à la question 13.

Inconnu

6. a) Est-ce que la personne a été hospitalisée?

Non

6. b) Pendant combien de temps?

7. Scénario d'exposition

Non professionnel

8. Comment l'exposition s'est-elle produite? (cocher tout ce qui s'applique)

Dérive du pesticide à partir de la zone traitée

9.Si l'exposition s'est produite lors du traitement ou au moment du retour dans la zone traitée, de l'équipement de protection individuelle était-il porté? (cocher tout ce qui s'applique)

Inconnu

10. Voie(s) d'exposition.

Respiratoire

11.Durée de l'exposition?

Unknown / Inconnu

12.Temps écoulé entre l'exposition et l'apparition des symptômes.

Unknown / Inconnu

13.Donner tout détail additionnel au sujet de l'incident (p.ex. description des symptômes tels que la fréquence et la gravité, type de soins médicaux, résultats des tests médicaux, quantité de pesticide à laquelle la personne a été exposée, etc.)

However, 2013 was the first time that I have ever been exposed to this much Garlon in one season. This time, I experienced much of the above symptoms, but the primary reaction was the negative effect on the neuro-muscular system. I experienced muscles spasms, muscle weakness in all my muscles head to toe, and increased muscle contractures. Muscle pain also skyrocketed, causing excruciating pain to stand and put weight on my feet and legs. For a short period of time, walking became almost impossible. This all resulted in a drastic reduction of my functional ability, once again leaving me completely dependent on others for almost everything. Then, in the winter of 2013/2014, red patches began appearing on my feet that were very irritating and had a burning sensation to them. These patches grew in size, in the degree of redness, in irritation and in the sensation of "feeling on fire". We concluded that toxic chemicals were coming out through my skin and causing chemical burns. The only thing that gave me relief was the rinsing of the skin in cold water. By the end of April 2014, these chemical burns covered both my feet and both my legs from the knees down. By the summer of 2014, pale yellow serum began coming out of the skin on the inside of both knees, flowing down my legs and hardening. This pale yellow substance was very irritating and made my knees and legs go into a heightened state of being on fire. It also increased my muscle spasms. By the fall of 2014, the yellow serum was lessening on my knees , but starting to come out on my feet. My husband treated my skin twice a day - 30 minutes in the morning before he left for work and 1 hour at night before we went to bed. The skin treatments involved removing the skin that was peeling and flaking off, rinsing with cold water and then applying olive oil to the skin. During the months of December 2014 and January 2015, we battled severe 2nd degree burns on the feet. The week between Christmas and New Years, we evaluated daily whether or not I needed to go to the hospital emergency. By February/March 2015, the burns began to slowly improve. By the fall of 2015, the skin treatments were reduced to once a day at night. By early 2016, there were no more burns on my legs, but the skin on the legs would still become itchy and irritated. Even now, my feet are still red and fluctuate between first and second degree burns. The yellow serum is still being secreted through the skin in my feet, but it is lessening. The cold water rinses are still needed to bring relief to the red skin, whether or not there is any serum. However, the rinses are always much longer when the serum is present, sometimes taking 30 to 40 minutes of rinsing in cold water before there is relief. The pattern that developed over the last few years as we have done these skin treatments is quite insightful. The more irritated my skin became, the more my leg muscles weakened and spasmed. However, after the skin treatments, the muscles would regain their strength and the spasms would stop.

À être déterminé par le titulaire

14. Classification selon la gravité.

15. Donner des renseignements additionnels ici.

Currently, 3.5 years after the Garlon exposure, I am still struggling to recover from the exposure in many other ways as well. I can now walk within my house, with the use of a walker, but I usually need to shift some of my weight onto my arms in order to be able to walk. I am only just starting to be able to lift my feet to do a 2" stair height, but my ankles are still not strong enough to handle walking on uneven, outside ground yet. I remain very dependent on others for all aspects of daily living. First thing in the morning, my muscles are still very weak. Basically I still can¿t get out of bed in the morning without my husband's help; and the first few steps of the morning still require a great deal of assistance from him. Although incontinence of the bowel has ended, my stools are still yellow. Incontinence of the bladder has greatly reduced, but bladder accidents still happen every few weeks.Also, another continued side-effect is my heightened sensitivity to exposures of toxic chemicals. My sensitivity to exposures is much more than it was in 2012, prior to the huge Garlon exposure of 2013. This heightened sensitivity causes my toxic reactions to be even more severe to an even smaller degree of exposure to scent or other products containing toxic chemicals.