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Consumer Product Safety

Incident Report

Subform I: General Information

1. Report Type.

New incident report

Incident Report Number: 2018-5958

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.


4. Date registrant was first informed of the incident.

5. Location of incident.

Country: CANADA


6. Date incident was first observed.


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.


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

Product Name: Avitrol

  • Active Ingredient(s)

7. b) Type of formulation.

Application Information

8. Product was applied?


9. Application Rate.


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).

To be determined by Registrant

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


Subform IV: Environment (includes plants insects and wildlife)

1. Type of organism affected

Bird - Flocking/Oiseau-Vivant en colonie

2. Common name(s)

Rock pigeon

3. Scientific name(s)

Columba livia

4. Number of organisms affected


5. Description of site where incident was observed

Fresh water



Salt Water

6. Check all symptoms that apply


7. Describe symptoms and outcome (died, recovered, etc.).

The following was reported: The following was reported: A Rock Pigeon was found by a member of the public along x in x, PE on august 27, 2018. It was seen flapping around, trying to fly approximately 20 mins. before being presented. It was submitted to Dr. x at the x where it was found to be seizuring, lying on its back, body condition score of 3/5 and admitting weight of 351 g. It had injected sclera, a full crop, it was unable to use its legs and continued to seizure, suspect avitrol toxicity. The Pigeon was administered 2 doses of 0.04 ml diazepam and 7 ml of charcoal through gavage. It appeared to stabilize ~10 mins. after diazepam, but found dead in its cage 1 hr. later. The crop content of this pigeon contained 65 ug/g of Avitrol (bird control product) which confirms a state of avitrol toxicosis. Lab: Animal health laboratory, x Test: Avitrol Sample Positive: Crop content, Results: 65 ug/g

8. a) Was the incident a result of (select all that apply)


8. b) i) How many times has the product been applied this year?


8. b) ii) What was the date of the last application?


9. Did it rain

9. a) During application?


9. b) Up to 3 days after application?


10. a) Was there a buffer zone?


10. b) What type?

10. c) What was the size of the buffer zone?

11. a) Were environmental samples collected and analysed?


To be determined by Registrant

12. Severity classification (if there is more than one possible classification, select the most severe)

13. Please provide supplemental information here

The following was reported: The active chemical in Avitrol, 4-Aminopyridine, is known to cause seizures and neurological deficits in birds and will cause sudden death if consumed in sufficient quantities. Birds found dead subsequent to consuming avitrol were found to have between 0.5 and 78 mg/kg of avitrol in their crop content. Reference: Frank et al. 1981. Residues of 4-Aminopyridine in Poisoned Birds. Bull. Environm. Contam. Toxicol. 26: