[Pharmwaste] FW: Final Call For Sign Ons to Letter to FDA Asking them to Stop Advising Flushing of Meds - due Jan. 19th

Fri Jan 8 10:11:48 EST 2016

Hi Heidi, Jennifer and all,

Yes, my suggestion is a bit outside the "no-sewer" box, but to get at the
root of this problem we really have to start talking source reduction.   As
you know it is the policy of the land.   

I've attached a white paper I compiled in 2008 with suggestions for source
reduction that can be added to letter.  I'm happy to do so.  The Medicare
language needs to be changed a bit, since they now offer pro-rated co-pays
for trial rx.  How many know that, I'm unsure.  

Very truly yours,

Catherine Zimmer, MS, BSMT
Zimmer Environmental Improvement, LLC
Reducing and managing healthcare related waste and costs for fifteen years.

St. Paul, MN 
Ph:  651.645.7509
zenllc at usfamily.net

-----Original Message-----
From: pharmwaste-bounces at lists.dep.state.fl.us
[mailto:pharmwaste-bounces at lists.dep.state.fl.us] On Behalf Of Heidi Sanborn
Sent: Thursday, January 07, 2016 6:46 PM
To: Volkman, Jennifer (MPCA)
Cc: pharmwaste at lists.dep.state.fl.us
Subject: Re: [Pharmwaste] FW: Final Call For Sign Ons to Letter to FDA
Asking them to Stop Advising Flushing of Meds - due Jan. 19th

Exactly!

Sent from my iPhone

> On Jan 7, 2016, at 9:45 AM, Volkman, Jennifer (MPCA)
<jennifer.volkman at state.mn.us> wrote:
> 
> Keep hammering Catherine!
> To me, that sounds like a different letter to a different audience to
include the national pharmacists association and which includes references
to language in Medicare that advocates for smaller initial prescription size
for a wider range of drugs than the opioids on the FDA's list. As a start. I
personally have more pain relief from chiropractic and massage therapies
than masking drugs, but that is an education effort to the general
public...as is buying smaller containers of drugs. And those therapies are
more time consuming and expensive. This is why the prevention aspect is much
more difficult, I think, than consistent no sewering messaging, setting up
collection networks, or even product stewardship. 
> ________________________________________
> From: pharmwaste-bounces at lists.dep.state.fl.us 
> [pharmwaste-bounces at lists.dep.state.fl.us] on behalf of Catherine 
> Zimmer [zenllc at usfamily.net]
> Sent: Thursday, January 07, 2016 10:27 AM
> To: 'Tenace, Laurie'; pharmwaste at lists.dep.state.fl.us
> Subject: RE: [Pharmwaste] FW: Final Call For Sign Ons to Letter to FDA
Asking   them to Stop Advising   Flushing of Meds - due Jan. 19th
> 
> Hi Heidi and all,
> 
> While I agree with elimination of the sewering of pharmaceuticals and
believe the FDA, DEA and EPA need consistency in their approach, source
reduction of pharmaceuticals  is the best way to deal with this issue.  I
would like to see language added to the letter that advocates for non-drug
therapies, use of the least toxic/persistent drug,  minimizing prescription
size/doses where possible and buying the smallest container of OTC drugs.
> 
> Incineration may be a somewhat better disposal method, but it still 
> has impacts in terms of air quality and disposal on the land.  And, 
> then there are the resources consumed  and waste created with the 
> manufacture of pharmaceuticals, see EPA's sector notebook, most recent 
> edition is 1997 https://clu-in.org/download/toolkit/pharma.pdf
> 
> We have to start the conversation about source reduction; this letter is a
good place to start.
> 
> Very truly yours,
> 
> Catherine Zimmer, MS, BSMT
> Zimmer Environmental Improvement, LLC
> Reducing and managing healthcare related waste and costs for fifteen
years.
> St. Paul, MN
> Ph:  651.645.7509
> zenllc at usfamily.net<mailto:zenllc at usfamily.net>
> 
> From: pharmwaste-bounces at lists.dep.state.fl.us 
> [mailto:pharmwaste-bounces at lists.dep.state.fl.us] On Behalf Of Tenace, 
> Laurie
> Sent: Wednesday, January 06, 2016 6:41 AM
> To: 'pharmwaste at lists.dep.state.fl.us'
> Subject: [Pharmwaste] FW: Final Call For Sign Ons to Letter to FDA 
> Asking them to Stop Advising Flushing of Meds - due Jan. 19th
> 
> All,
> Please note this did not originate with me.
> (Heidi, I'll check your membership with this address!) Laurie
> 
> From: Heidi Sanborn [mailto:Heidi at nsaction.us]
> Sent: Tuesday, January 05, 2016 11:00 PM
> To: 
> pharmwaste at lists.dep.state.fl.us<mailto:pharmwaste at lists.dep.state.fl.
> us>
> Subject: Final Call For Sign Ons to Letter to FDA Asking them to Stop 
> Advising Flushing of Meds - due Jan. 19th
> 
> Dear Pharma Listserv Members:
> 
> Attached you will find the final letter to the FDA asking them to stop
advising the flushing of medications.
> 
> If you wish to sign on, please send Jordan at
jordan at nsaction.us<mailto:jordan at nsaction.us> the name, title, organization,
and logo for signing on.
> 
> If you already signed on, please review the letter to ensure your entity's
name, logo, contact and title are correct.  If it is not,  please email
Jordan at jordan at nsaction.us<mailto:jordan at nsaction.us> with any changes.
> 
> We have extended the deadline to COB January 19th due to so many requests
to sign on and plan to send it out shortly thereafter. Please share this
letter with other interested parties - our email list is limited and we hope
a long list of support will finally get the media attention and put an end
to the government advising meds be flushed.
> 
> We will be working on a press plan to announce this letter being sent and
will keep you posted.
> 
> This is a large undertaking and financial contributions are needed to
continue this important work. For more information about the National
Stewardship Action Council visit www.nsaction.us<http://www.nsaction.us>.
To donate, go to http://nsaction.us/donate/.
> 
> In partnership,
> 
> Heidi Sanborn
> 
> Heidi Sanborn
> Executive Director
> [NSAC Final logo-01 (33%)]
> 1822 21st Street, Suite 200
> Sacramento, CA  95811
> 916-706-3420
> heidi at nsaction.us<mailto:nsacpres at gmail.com>
> www.nsaction.us<http://www.nsaction.us/>
> 
> <image001.jpg>
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