[Pharmwaste] Pharmwaste Digest, Vol 141, Issue 9

[Fabisiak - CDPHE, Greg]

Since late 2016, the State of Colorado has been operating and expanding its
successful Household Medication Take-Back Program, utilizing the contracted
services of Assured Waste Solutions, LLC of Gastonia, NC. The Colorado
Department of Public Health and Environment, in partnership with the Colorado
Consortium for Prescription Drug Abuse Prevention
<http://www.corxconsortium.org/> and numerous stakeholders, used a stepwise
approach to establish the program through legislation, Solid and Hazardous
Waste Commission rulemaking, an annual $300,000 legislative appropriation,
and program promotional campaigns. More than 80 collection sites have been
established to-date at law enforcement agencies, retail pharmacies,
hospitals and clinics. The department is working to achieve the Governor's
goal of establishing at least one permanent collection site in each of
Colorado's 64 counties by the end of 2018. The annual appropriation allows
the department to meet this goal and establish multiple locations in more
heavily populated counties or counties most heavily impacted by the opioid
abuse epidemic.

In order to provide a centralized, consistent message for Colorado
residents on the proper disposal of unused household medications, the
program is branded to the website takemedsback.org. This website,
administered by the Consortium, is the disposal information landing page
for the broader website, takemedsseriously.org, which promotes the safe
use, safe storage and safe disposal of household medications. Along with
state program collection locations, takemedsback.org also lists locations
of other programs, including Walgreens and Kaiser-Permanente.

I'm happy to discuss our program with anyone who is interested in having
more information.

Greg Fabisiak
Colorado Department of Public Health and Environment
303-692-2903
greg.fabisiak at state.co.us


On Tue, Oct 31, 2017 at 7:27 PM, <pharmwaste-request at lists.dep.state.fl.us>
wrote:

> Send Pharmwaste mailing list submissions to
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> or, via email, send a message with subject or body 'help' to
>         pharmwaste-request at lists.dep.state.fl.us
>
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> When replying, please edit your Subject line so it is more specific
> than "Re: Contents of Pharmwaste digest..."
>
> Today's Topics:
>
>    1. Re: Pharmwaste Listserv concerns (Volkman, Jennifer (MPCA))
>    2. Need info on statewide programs (Jaramillo, Jeanie)
>
>
> ---------- Forwarded message ----------
> From: "Volkman, Jennifer (MPCA)" <jennifer.volkman at state.mn.us>
> To: "pharmwaste at lists.dep.state.fl.us" <pharmwaste at lists.dep.state.fl.us>
> Cc:
> Bcc:
> Date: Tue, 31 Oct 2017 23:00:37 +0000
> Subject: Re: [Pharmwaste] Pharmwaste Listserv concerns
>
> The traffic cycles with issues. Initially it was a lot of studies
> outlining impacts to the environment and drinking water. Then we learned
> pharms are everywhere, so you can just google that sort of thing if you
> need it. There was a lot of traffic just before and after the DEA rules
> became effective, which was very helpful. The latest areas of interest are
> product stewardship actions to get manufacturers on board to help deal with
> the waste issue; and the ongoing discussion of 45’s approach to the opioid
> crisis, as Ed shared earlier.  Catherine is correct that we should be
> pushing upstream. I think the list serve still has value and if you can
> hang on awhile, I think it is worth it.
>
>
>
> I would prefer not to see advertising, but my comments have always
> surrounded the notion that it should be fair—either everyone gets to, or no
> one gets to. Some long time participants have done a super job of
> increasing our knowledge while not hawking their services. Then a few odd
> balls show up and only claim they have “the best option” for dealing with
> the problem for only $x.99, vs. sharing knowledge. Again, google is your
> friend.
>
>
>
> Thank you for everything you and the state have done to support the list
> serve! I wish I could set it up here, but looks like that’s a no go.
>
>
>
> Cheers,
>
> Jennifer Volkman
>
>
>
> *From:* Pharmwaste [mailto:pharmwaste-bounces at lists.dep.state.fl.us] *On
> Behalf Of *Catherine Zimmer
> *Sent:* Monday, October 30, 2017 10:09 AM
> *To:* 'Scarborough, Jill R.' <Jill.R.Scarborough at dep.state.fl.us>;
> pharmwaste at lists.dep.state.fl.us
> *Subject:* Re: [Pharmwaste] Pharmwaste Listserv concerns
>
>
>
> Hi Jill and all,
>
>
>
> Jill, thank you for coordinating the list.  I believe the list still has
> value as a place to exchange information about what is happening in the
> world of pharmaceutical waste.   I believe the exchanges have diminished
> due to the increase in pharmaceutical waste collection—both programs and
> vendor supplied systems. And, attrition on the list due to retirement and
> sadly, death.  I agree with others on the list that this is not the place
> for vendors to advertise their products.
>
>
>
> I also would like to see the list focus more on source reduction of
> pharmaceuticals, e.g. minimized prescription sizes and minimized
> prescriptions/human/animal ingestion in general.  Or, how do we prevent
> these biologically active chemicals from release to the environment where a
> significant body of evidence indicates Wildlife is being impacted?  If we
> aren’t going to source reduce drug (and other chemical waste) then, we
> must, as Switzerland is doing, pay for tertiary treatment at the wastewater
> plant.
>
>
>
> I’m curious as to what others see being done in the source reduction
> arena.
>
>
>
> Very truly yours,
>
>
>
> Catherine Zimmer, MS, BSMT
>
> Executive director, HEARRT Midwest
> <http://www.hearrtmidwest.wildapricot.org/>
>
> Principal, *Zimmer Environmental Improvement*
>
> Improving processes, minimizing and managing waste and, reducing costs.
>
> T:  651.645.7509 <(651)%20645-7509>
>
> zenllc at usfamily.net
>
>
>
>
>
>
>
> *From:* Pharmwaste [mailto:pharmwaste-bounces at lists.dep.state.fl.us
> <pharmwaste-bounces at lists.dep.state.fl.us>] *On Behalf Of *Scarborough,
> Jill R.
> *Sent:* Friday, October 27, 2017 12:56 PM
> *To:* pharmwaste at lists.dep.state.fl.us
> *Subject:* [Pharmwaste] Pharmwaste Listserv concerns
>
>
>
> Hi Everyone,
>
>
>
> I understand there are some concerns regarding the pharmwaste listserv.
>
>
>
> Here's some details about how the listserv is managed/administered.
>
>    - I do not approve or disapprove new members.  I do not get
>       notifications about new members or about existing members changing their
>       preferences (for example if they unsubscribe       or change to getting a
>       "daily digest").
>       - I do not approve or disapprove of messages.
>       - Some of you may have issues with creating "bounces" and getting
>       an automated email (that I am not notified of) saying that your membership
>       has been disabled.  My understanding is that this is an issue with
>       attachments, links, and other things (policies enacted by your company/IT
>       group) that cause mail servers to kick out an email.
>
>
>
> The Mailing List Manager that is used by Florida DEP is “Mailman.”  It is
> a free software and, according to Florida DEP’s Mailing List information
> page, we are using version 2.1.15.  According to the software’s website,
> they have two current versions: 2.1.25 and 3.1.  To my knowledge, there is
> no plan to update the version that Florida DEP is using.
>
>
>
> I have heard from a few members that advertisements and self-promotional
> items are a nuisance and are at odds with the purpose of the listserv.
> This listserv was initially developed, in 2005, to provide an electronic
> location for a national dialogue on the emerging issue of pharmaceuticals
> and personal care products (PPCPs) in the environment.  There has been a
> steady decrease in activity, participation, and general discussion.  This
> is not to say that pharmaceuticals and personal care products are no longer
> an environmental concern but rather that the need for this listserv may be
> waning.
>
>
>
> At the moment, there is no easy answer for how to address the issues that
> have cropped up.  I welcome your solutions and would like to hear from
> you.  Please note, the likelihood of Florida DEP buying/paying for newer
> software is low (based on the current utilization rate we have for this
> listserv).  It has been suggested to me that I try to find someone else
> (perhaps another agency) to host and manage the listserv.  I do not think
> that Florida DEP would allow a someone who is not a Florida DEP employee to
> be the administrator of the listserv in its current location.
>
>
>
> Again, I’d like to hear solutions if you have them.
>
>
>
> Thank you,
>
>
> Jill Scarborough
>
>
>
> *Jill R. Scarborough*
>
> *Environmental Consultant*
>
> *Division of Waste Management*
>
> *Florida Department of Environmental Protection*
>
> *850-245-8782 <(850)%20245-8782>*
>
>
>
>
>
>
> ---------- Forwarded message ----------
> From: "Jaramillo, Jeanie" <Jeanie.Jaramillo at ttuhsc.edu>
> To: "pharmwaste at lists.dep.state.fl.us" <pharmwaste at lists.dep.state.fl.us>
> Cc:
> Bcc:
> Date: Wed, 1 Nov 2017 01:26:57 +0000
> Subject: [Pharmwaste] Need info on statewide programs
>
> Hello All,
>
>
>
> I have the opportunity to discuss the potential for a statewide medication
> take back initiative in Texas with one of our House Representatives. I
> recently read about the program in North Carolina. Do any of you have
> information on statewide, or even regional, programs that might be useful
> to me in this setting?
>
>
>
> *Dr. Jeanie Jaramillo-Stametz*
>
> *Managing Director, Texas Panhandle Poison Center*
>
> *Asst. Professor, Pharmacy Practice*
>
> *Director, Medication Cleanout*
>
> *Texas Tech University Health Sciences Center*
>
> *School of Pharmacy*
>
> *jeanie.jaramillo at ttuhsc.edu <jeanie.jaramillo at ttuhsc.edu>*
>
> *Office: (806) 414-9402 <(806)%20414-9402>*
>
> *Voice mail: (806) 414-9299 <(806)%20414-9299>*
>
> *Mobile: (806) 376-0039 <(806)%20376-0039>*
>
> *[image: ijsu]*
> <http://http/www.tandfonline.com/doi/full/10.1080/14659891.2017.1337821>
>
> *www.tandfonline.com/doi/full/10.1080/14659891.2017.1337821
> <http://www.tandfonline.com/doi/full/10.1080/14659891.2017.1337821>*
>
>
>
>
>
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>



-- 
*Greg Fabisiak*
*Environmental Integration Coordinator*

P 303.692.2903 | F 303.753.6809
4300 Cherry Creek Drive South, DEHS-A2
Denver, CO 80246-1530
greg.fabisiak at state.co.us  |  www.colorado.gov/cdphe/dehs
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