[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
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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
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