[Pharmwaste] Re: Pharmwaste Digest, Vol 47, Issue 6 - HandSanitizer

Sue Dayton sdayton at swcp.com
Thu Oct 1 10:43:11 EDT 2009


Triclosan is being spread on farmlands (via sewage sludge) where it turns
into dioxin in the presence of UV light. An appetizing thought. 

 

Yes, I agree with you, Meryl, that it should be banned.

 

Sue Dayton

Blue Ridge Environmental Defense League

North Carolina Healthy Communities Program

PO BOX 44

Saxapahaw, NC 27340

(336) 525-2003

sdayton at swcp.com

 

 

 

Our lives begin to end the day we become silent about things that matter.
-  Martin Luther King Jr.

 

 

 

  _____  

From: pharmwaste-bounces at lists.dep.state.fl.us
[mailto:pharmwaste-bounces at lists.dep.state.fl.us] On Behalf Of Matthew C.
Mireles
Sent: Wednesday, September 30, 2009 7:18 PM
To: Meryl Klein; pharmwaste at lists.dep.state.fl.us
Subject: Re: [Pharmwaste] Re: Pharmwaste Digest, Vol 47, Issue 6 -
HandSanitizer

 

Very good point, Meryl!   



-----Original Message----- 
From: Meryl Klein 
Sent: Sep 30, 2009 9:04 AM 
To: pharmwaste at lists.dep.state.fl.us 
Subject: [Pharmwaste] Re: Pharmwaste Digest, Vol 47, Issue 6 - Hand
Sanitizer 

Has anyone thought of doing a life cycle analysis on resources used (soap
and water [remember that water is fast becoming a commodity]) vs. sanitizer
and comparing the effectiveness of both.  I know there was a study back in
the early 2000s comparing handwashing and alcohol-based sanitizers and they
found that the sanitizers with moisturizers were better for hospital
employees who had to wash often as the soap and water and plain sanitizer
dried the hands too much and let in infection.  Triclosan should definitely
be banned.  Period. 

 

Perhaps there are times when small children, unless strictly monitored, are
not up to the task of properly washing their hands.  I watch my own four
year old wash mostly properly and then cringe when she touches the sink and
just about every other surface there is in the public restroom despite my
explanations of why we should not do this after she washes her hands.

 

I think there is a place for both proper handwashing and sanitizer.

 

 

 

On Sep 29, 2009, at 6:52 PM, pharmwaste-request at lists.dep.state.fl.us wrote:





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Today's Topics:

 

   1. RE: hand sanitizer (Suhr, Marcus W.)

   2. RE: RE: hand sanitizer (Lyle Milby)

   3. RE: RE: hand sanitizer (Gressitt, Stevan)

   4. Re: RE: hand sanitizer (TBadrick at aol.com)

   5. RE: RE: hand sanitizer (Matthew C. Mireles)

   6. RE: RE: hand sanitizer (Volkman, Jennifer)

   7. RE: RE: hand sanitizer (Matthew C. Mireles)

 

 

----------------------------------------------------------------------

 

Message: 1

Date: Tue, 29 Sep 2009 15:19:33 -0400

From: "Suhr, Marcus W." <MSuhr at ChristianaCare.org>

Subject: [Pharmwaste] RE: hand sanitizer

To: <pharmwaste at lists.dep.state.fl.us>

Message-ID:

<D69AAE0446628A44B9869C47841645FF0D85FD18 at eschrmb01.mcd.pri>

Content-Type: text/plain; charset="us-ascii"

 

I read an article where a child was poisoned by alcohol sanitizer

recently.  Its only a matter of time before a child dies, or they start

getting the swift idea of lighting it.  My own step-son was required by

the school to bring a bottle to begin the year.  This is a clear example

of bringing an item to market, and not enough controls.  Everyone thinks

sanitizer is so great.  

 

Anyone else being requested to bring it to school?    

 

Marcus Suhr, ASP 

Industrial Hygienist 

Christiana Care Health Services 

Occupational Safety Department, Office L840J 

4755 Ogletown-Stanton Road 

Newark, DE 19718 

302-733-3787 (office)

302-573-7662 (pager) 

302-733-3771 (fax) 

MSuhr at christianacare.org

 

 

 

 

------------------------------

 

Message: 2

Date: Tue, 29 Sep 2009 14:27:37 -0500

From: "Lyle Milby" <Lyle.Milby at NormanOK.gov>

Subject: RE: [Pharmwaste] RE: hand sanitizer

To: "Suhr, Marcus W." <MSuhr at ChristianaCare.org>,

<pharmwaste at lists.dep.state.fl.us>

Message-ID:

<178AEFF1493D434386CF580401CFED0F449BB5 at ponyexpress.ci.norman.ok.us>

Content-Type: text/plain; charset="us-ascii"

 

Our school system is putting these out in all of the schools at the

recommendation of the County Health Department in response to H1N1.  Our

Fire Department expressed reservations but they decided to go ahead with

it.  I assume it is an alcohol based product because of the fire

department concern.

 

Lyle Milby

City of Norman

Environmental Services

P.O. Box 370

Norman, OK  73070

(405) 292-9731

lyle.milby at normanok.gov

 

 

-----Original Message-----

From: pharmwaste-bounces at lists.dep.state.fl.us

[mailto:pharmwaste-bounces at lists.dep.state.fl.us] On Behalf Of Suhr,

Marcus W.

Sent: Tuesday, September 29, 2009 2:20 PM

To: pharmwaste at lists.dep.state.fl.us

Subject: [Pharmwaste] RE: hand sanitizer

 

I read an article where a child was poisoned by alcohol sanitizer

recently.  Its only a matter of time before a child dies, or they start

getting the swift idea of lighting it.  My own step-son was required by

the school to bring a bottle to begin the year.  This is a clear example

of bringing an item to market, and not enough controls.  Everyone thinks

sanitizer is so great.  

 

Anyone else being requested to bring it to school?    

 

Marcus Suhr, ASP 

Industrial Hygienist 

Christiana Care Health Services 

Occupational Safety Department, Office L840J 

4755 Ogletown-Stanton Road 

Newark, DE 19718 

302-733-3787 (office)

302-573-7662 (pager) 

302-733-3771 (fax) 

MSuhr at christianacare.org

 

 

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------------------------------

 

Message: 3

Date: Tue, 29 Sep 2009 15:39:07 -0400

From: "Gressitt, Stevan" <Stevan.Gressitt at maine.gov>

Subject: RE: [Pharmwaste] RE: hand sanitizer

To: "Lyle Milby" <Lyle.Milby at NormanOK.gov>, "Suhr, Marcus W."

<MSuhr at ChristianaCare.org>, <pharmwaste at lists.dep.state.fl.us>

Message-ID:

<0F9DE263E5900443A7E41D68717431670360206B at SOM-TEAQASMAIL6.som.w2k.state.me.u
s>

 

Content-Type: text/plain; charset="US-ASCII"

 

Let's see, 62% Ethyl Alcohol= 124 proof? Jack Daniels is what? 

 

Stevan Gressitt, M.D., Medical Director

Office of Adult Mental Health Services

Department of Health and Human Services

Marquardt Building, 2nd Floor

11 State House Station

32 Blossom Lane

Augusta, ME  04333-0011

Ph: (207)287-4273

Fax: (207)287-1022

Cell Phone: (207) 441-0291

E-Mail : stevan.gressitt at maine.gov

http://www.maine.gov/dhhs/mh/

 

Confidentiality Notice: This e-mail message, including any attachments,

is for the sole use of the intended recipient(s).  It may contain

confidential and privileged information.  Any unauthorized review, copy,

use, disclosure, or distribution is prohibited.  If you are not the

intended recipient, please note that any dissemination, distribution or

copying of this is strictly prohibited.  Please contact me by reply

e-mail or telephone and destroy all copies of this message.

 

 

 

-----Original Message-----

From: pharmwaste-bounces at lists.dep.state.fl.us

[mailto:pharmwaste-bounces at lists.dep.state.fl.us] On Behalf Of Lyle

Milby

Sent: Tuesday, September 29, 2009 3:28 PM

To: Suhr, Marcus W.; pharmwaste at lists.dep.state.fl.us

Subject: RE: [Pharmwaste] RE: hand sanitizer

 

Our school system is putting these out in all of the schools at the

recommendation of the County Health Department in response to H1N1.  Our

Fire Department expressed reservations but they decided to go ahead with

it.  I assume it is an alcohol based product because of the fire

department concern.

 

Lyle Milby

City of Norman

Environmental Services

P.O. Box 370

Norman, OK  73070

(405) 292-9731

lyle.milby at normanok.gov

 

 

-----Original Message-----

From: pharmwaste-bounces at lists.dep.state.fl.us

[mailto:pharmwaste-bounces at lists.dep.state.fl.us] On Behalf Of Suhr,

Marcus W.

Sent: Tuesday, September 29, 2009 2:20 PM

To: pharmwaste at lists.dep.state.fl.us

Subject: [Pharmwaste] RE: hand sanitizer

 

I read an article where a child was poisoned by alcohol sanitizer

recently.  Its only a matter of time before a child dies, or they start

getting the swift idea of lighting it.  My own step-son was required by

the school to bring a bottle to begin the year.  This is a clear example

of bringing an item to market, and not enough controls.  Everyone thinks

sanitizer is so great.  

 

Anyone else being requested to bring it to school?    

 

Marcus Suhr, ASP 

Industrial Hygienist 

Christiana Care Health Services 

Occupational Safety Department, Office L840J 

4755 Ogletown-Stanton Road 

Newark, DE 19718 

302-733-3787 (office)

302-573-7662 (pager) 

302-733-3771 (fax) 

MSuhr at christianacare.org

 

 

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------------------------------

 

Message: 4

Date: Tue, 29 Sep 2009 18:01:30 EDT

From: TBadrick at aol.com

Subject: Re: [Pharmwaste] RE: hand sanitizer

To: pharmwaste at lists.dep.state.fl.us

Message-ID: <c0a.649e2680.37f3ddba at aol.com>

Content-Type: text/plain; charset="us-ascii"

 

I refer to them as little bombs in the hospital.  In an age where fire  

marshals freak out over recycling containers size due to fire risk....its
okay  

to put aerosol containers (otherwise known as compressed gas cylinders) of  

flammable materials every twenty feet or so along a wall?..  gee I feel  

safe now.  Whatever happened to soap and water and proper technique?   is
that 

too complicated?  This is what happens when rampant uneducated fear  trumps 

science and logic.

 

I clearly remember the day, sitting in the Reno airport bar and Wolf  

Blitzer comes on TV with a special report about deadly MRSA...all I could
think  

about was how this would put a halt to all other hospital projects to solve 

a  problem that really wasn't a problem, because guess what MRSA is already


everywhere and that just employing proper hand washing would do just  

fine....sigghhhh, I must be getting older ;-)

 

Tom Badrick

Badrick Consulting

 

 

 

In a message dated 9/29/2009 12:28:22 P.M. Pacific Daylight Time,  

Lyle.Milby at NormanOK.gov writes:

 

Our  school system is putting these out in all of the schools at  the

recommendation of the County Health Department in response to  H1N1.  Our

Fire Department expressed reservations but they decided to  go ahead with

it.  I assume it is an alcohol based product because of  the fire

department concern.

 

Lyle Milby

City of  Norman

Environmental Services

P.O. Box 370

Norman, OK   73070

(405) 292-9731

lyle.milby at normanok.gov

 

 

-----Original  Message-----

From:  pharmwaste-bounces at lists.dep.state.fl.us

[mailto:pharmwaste-bounces at lists.dep.state.fl.us]  On Behalf Of Suhr,

Marcus W.

Sent: Tuesday, September 29, 2009 2:20  PM

To: pharmwaste at lists.dep.state.fl.us

Subject: [Pharmwaste] RE: hand  sanitizer

 

I read an article where a child was poisoned by alcohol  sanitizer

recently.  Its only a matter of time before a child dies, or  they start

getting the swift idea of lighting it.  My own step-son was  required by

the school to bring a bottle to begin the year.  This is a  clear example

of bringing an item to market, and not enough controls.   Everyone thinks

sanitizer is so great.  

 

Anyone else being  requested to bring it to school?    

 

Marcus Suhr, ASP  

Industrial Hygienist 

Christiana Care Health Services 

Occupational  Safety Department, Office L840J 

4755 Ogletown-Stanton Road 

Newark, DE  19718 

302-733-3787 (office)

302-573-7662 (pager) 

302-733-3771 (fax)  

MSuhr at christianacare.org

 

 

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Message: 5

Date: Tue, 29 Sep 2009 18:19:44 -0400 (EDT)

From: "Matthew C. Mireles" <mirelesmc at earthlink.net>

Subject: RE: [Pharmwaste] RE: hand sanitizer

To: "Gressitt,Stevan" <Stevan.Gressitt at maine.gov>, Lyle Milby

<Lyle.Milby at NormanOK.gov>, "Suhr,Marcus W."

<MSuhr at ChristianaCare.org>, pharmwaste at lists.dep.state.fl.us

Cc: linkfilion at yahoo.com, Elizabeth Smith <smithce at flash.net>,

jamiller at communityofcompetence.com

Message-ID:

<33222853.1254262784422.JavaMail.root at elwamui-rubis.atl.sa.earthlink.net>

 

Content-Type: text/plain; charset=UTF-8

 

Dr. Jerry Miller, an epidemiologist, at our Foundation would be a good
person to consult with.  He did a fellowship at CDC in Atlanta and is now
our VP for Research.

 

For schools and some clinical facilitites, we recommend simple, proper
handwashing with soap and warm water as well as prudent hygiene and
sanitation practices.  Some school districts are presenting learning lessons
with practices in the lavatory for the correct handwashing.  I heard one
school has kids reciting the alphabet A-Z (approx 15 sec--about same time
recommended by CDC for kids) to time how long they should lather hands with
soap before rinsing.  Paper napkins or motion-sensed driers are used to dry
hands.  Some even instruct kids to avoid touching door handles and open the
door with a paper napkin and throw the napkin the waste basket right outside
the restroom.

 

Kids are reminded to cover their nose and mouths with tissue when they
sneeze or cough.  If tissue paper is not available, they are instructed to
cough or sneeze into their folded upper arms so they won't spread germs.
It's hoot to walk into a classroom as see kids practicing how to cough into
their arms.  Many lessons that I'm mentioned are strategies being used
mainly on the west coast as an introduction to personal hygiene as well as
proper etiquette.

 

Hand sanitizing, disinfecting gels, liquids, ointments, etc. are useful in
some occasions but probably not too wise as an effort to prevent infection
and cross contamination.  to require parents to provide the product to their
kids without sufficient rationale for the parents or the kids might be
interpreted as an extraneous attempt to combat the H1N1 epidemic.  There's
already a misplaced fear of H1N1 being spread by pork products.  Please save
the bacon!

 

Reliance on only these liquids or gel sanitzers may produce some unintended
consequences.  CDC reports 2 million cases of nosocomial infections in our
hospitals resulting in 90,000 deaths of our patients each year.  Hospitals
are frantically investing money into putting dispensers with hand sanitizers
on the floors, in patients' rooms, waiting rooms, etc.  Some hospitals hire
secret monitors to observe handwashing and record noncompliance; some even
pay staff members to wash their hands correctly out of sheer desperation.
in addition to carrying the stethoscope and cheat sheets in their pockets,
many nurses and docs are given courtesy of the medical supply companies
personal bottles of hand sanitzers.  Hence, many are skippping the standard
sink and soap routine.  

 

The results have not been too impressive: infection rate has not gotten
better.  As a matter of fact, healthcare professionals' behavior and
attitude with proper handwashing have worsen.  

 

We were contracted by a major company in Austin TX to provide a health
education and promotion poster for handwashing--we recommended soap and
water and hygiene.  We thought about inviting those kids to do a demo for
the company's execs and remind them that sometimes simple is best, like the
ABCs.

 

 

Matthew C. Mireles, PhD, MPH

President and CEO

Community Medical Foundation for Patient Safety

 

 

 

 

-----Original Message-----

From: "Gressitt, Stevan" <Stevan.Gressitt at maine.gov>

Sent: Sep 29, 2009 2:39 PM

To: Lyle Milby <Lyle.Milby at NormanOK.gov>, "Suhr, Marcus W."
<MSuhr at ChristianaCare.org>, pharmwaste at lists.dep.state.fl.us

Subject: RE: [Pharmwaste] RE: hand sanitizer

 

Let's see, 62% Ethyl Alcohol= 124 proof? Jack Daniels is what? 

 

Stevan Gressitt, M.D., Medical Director

Office of Adult Mental Health Services

Department of Health and Human Services

Marquardt Building, 2nd Floor

11 State House Station

32 Blossom Lane

Augusta, ME  04333-0011

Ph: (207)287-4273

Fax: (207)287-1022

Cell Phone: (207) 441-0291

E-Mail : stevan.gressitt at maine.gov

http://www.maine.gov/dhhs/mh/

 

Confidentiality Notice: This e-mail message, including any attachments,

is for the sole use of the intended recipient(s).  It may contain

confidential and privileged information.  Any unauthorized review, copy,

use, disclosure, or distribution is prohibited.  If you are not the

intended recipient, please note that any dissemination, distribution or

copying of this is strictly prohibited.  Please contact me by reply

e-mail or telephone and destroy all copies of this message.

 

 

 

-----Original Message-----

From: pharmwaste-bounces at lists.dep.state.fl.us

[mailto:pharmwaste-bounces at lists.dep.state.fl.us] On Behalf Of Lyle

Milby

Sent: Tuesday, September 29, 2009 3:28 PM

To: Suhr, Marcus W.; pharmwaste at lists.dep.state.fl.us

Subject: RE: [Pharmwaste] RE: hand sanitizer

 

Our school system is putting these out in all of the schools at the

recommendation of the County Health Department in response to H1N1.  Our

Fire Department expressed reservations but they decided to go ahead with

it.  I assume it is an alcohol based product because of the fire

department concern.

 

Lyle Milby

City of Norman

Environmental Services

P.O. Box 370

Norman, OK  73070

(405) 292-9731

lyle.milby at normanok.gov

 

 

-----Original Message-----

From: pharmwaste-bounces at lists.dep.state.fl.us

[mailto:pharmwaste-bounces at lists.dep.state.fl.us] On Behalf Of Suhr,

Marcus W.

Sent: Tuesday, September 29, 2009 2:20 PM

To: pharmwaste at lists.dep.state.fl.us

Subject: [Pharmwaste] RE: hand sanitizer

 

I read an article where a child was poisoned by alcohol sanitizer

recently.  Its only a matter of time before a child dies, or they start

getting the swift idea of lighting it.  My own step-son was required by

the school to bring a bottle to begin the year.  This is a clear example

of bringing an item to market, and not enough controls.  Everyone thinks

sanitizer is so great.  

 

Anyone else being requested to bring it to school?    

 

Marcus Suhr, ASP 

Industrial Hygienist 

Christiana Care Health Services 

Occupational Safety Department, Office L840J 

4755 Ogletown-Stanton Road 

Newark, DE 19718 

302-733-3787 (office)

302-573-7662 (pager) 

302-733-3771 (fax) 

MSuhr at christianacare.org

 

 

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------------------------------

 

Message: 6

Date: Tue, 29 Sep 2009 17:22:54 -0500

From: "Volkman, Jennifer" <Jennifer.Volkman at state.mn.us>

Subject: RE: [Pharmwaste] RE: hand sanitizer

To: <TBadrick at aol.com>, <pharmwaste at lists.dep.state.fl.us>

Message-ID:

<6246727221874A4FB8D3F9BBC37D9BD5079D9258 at s-sp22.pca.state.mn.us>

Content-Type: text/plain; charset="us-ascii"

 

My kids haven't been asked to carry concealed yet.  They used to get an

extra credit point for bringing a box of tissues to class, but the

school disallowed that practice this year because they felt it might be

unfair to those who could not afford to supply the school with tissues.

So, the kids are packing their own or using the back of the hand, wall,

desk or whatever is handy.  Management at our state agency (and probably

all of them in MN) issued each desk a 4 oz bottle (apparently this

equals about 8 martinis) and a container of wipes.  I've heard they will

be installing dispensers outside all of our conference rooms, just like

hospitals.  A nurse friend of mine said they had to switch to another

type of sanitizer at her hospital because too many employees (they like

to blame the janitors) were adding a shot to their morning coffee. It

fits right in with all the other craziness...must be something in the

water...

 

 

 

 

 

From: pharmwaste-bounces at lists.dep.state.fl.us

[mailto:pharmwaste-bounces at lists.dep.state.fl.us] On Behalf Of

TBadrick at aol.com

Sent: Tuesday, September 29, 2009 5:01 PM

To: pharmwaste at lists.dep.state.fl.us

Subject: Re: [Pharmwaste] RE: hand sanitizer

 

 

 

I refer to them as little bombs in the hospital.  In an age where fire

marshals freak out over recycling containers size due to fire

risk....its okay to put aerosol containers (otherwise known as

compressed gas cylinders) of flammable materials every twenty feet or so

along a wall?..  gee I feel safe now.  Whatever happened to soap and

water and proper technique?  is that too complicated?  This is what

happens when rampant uneducated fear trumps science and logic.

 

 

 

I clearly remember the day, sitting in the Reno airport bar and Wolf

Blitzer comes on TV with a special report about deadly MRSA...all I

could think about was how this would put a halt to all other hospital

projects to solve a problem that really wasn't a problem, because guess

what MRSA is already everywhere and that just employing proper hand

washing would do just fine....sigghhhh, I must be getting older ;-)

 

 

 

Tom Badrick

 

Badrick Consulting

 

 

 

 

 

In a message dated 9/29/2009 12:28:22 P.M. Pacific Daylight Time,

Lyle.Milby at NormanOK.gov writes:

 

Our school system is putting these out in all of the schools at

the

recommendation of the County Health Department in response to

H1N1.  Our

Fire Department expressed reservations but they decided to go

ahead with

it.  I assume it is an alcohol based product because of the fire

department concern.

 

Lyle Milby

City of Norman

Environmental Services

P.O. Box 370

Norman, OK  73070

(405) 292-9731

lyle.milby at normanok.gov

 

 

-----Original Message-----

From: pharmwaste-bounces at lists.dep.state.fl.us

[mailto:pharmwaste-bounces at lists.dep.state.fl.us] On Behalf Of

Suhr,

Marcus W.

Sent: Tuesday, September 29, 2009 2:20 PM

To: pharmwaste at lists.dep.state.fl.us

Subject: [Pharmwaste] RE: hand sanitizer

 

I read an article where a child was poisoned by alcohol

sanitizer

recently.  Its only a matter of time before a child dies, or

they start

getting the swift idea of lighting it.  My own step-son was

required by

the school to bring a bottle to begin the year.  This is a clear

example

of bringing an item to market, and not enough controls.

Everyone thinks

sanitizer is so great.  

 

Anyone else being requested to bring it to school?    

 

Marcus Suhr, ASP 

Industrial Hygienist 

Christiana Care Health Services 

Occupational Safety Department, Office L840J 

4755 Ogletown-Stanton Road 

Newark, DE 19718 

302-733-3787 (office)

302-573-7662 (pager) 

302-733-3771 (fax) 

MSuhr at christianacare.org

 

 

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Message: 7

Date: Tue, 29 Sep 2009 18:52:30 -0400 (EDT)

From: "Matthew C. Mireles" <mirelesmc at earthlink.net>

Subject: RE: [Pharmwaste] RE: hand sanitizer

To: "Volkman,Jennifer" <Jennifer.Volkman at state.mn.us>,

TBadrick at aol.com, pharmwaste at lists.dep.state.fl.us

Cc: jerrymiller at communityofcompetence.com, Elizabeth Smith

<smithce at flash.net>, mcmireles at communityofcompetence.com,

linkfilion at yahoo.com, Douglas Dotan <ddotan at crgmedical.com>

Message-ID:

<20595462.1254264751012.JavaMail.root at elwamui-rubis.atl.sa.earthlink.net>

 

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End of Pharmwaste Digest, Vol 47, Issue 6

*****************************************

 


________________________________________________

 

Please consider the environment before printing this E-mail.

 

 






 

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