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<DIV dir=ltr align=left><SPAN class=733194715-05052006><FONT face=Arial
color=#0000ff size=2>There are some collection models to look at besides the HHW
drop off. HHW drop off is in different levels of maturity through out the
country, people take medications with them everywhere, but not household
toxics. For the target audience of pharm waste, convenience is key.
HHW drop- off is rarely convenient, except to the operators for costs and
management reasons. These facilities on average serve 4% of the local
population. Studies have shown that if a resident is more than 3 miles
away from a facility, they are not likely to participate. A very well
run curbside HHW program will hit 16% of the their population. Multi
-family dwellings pose addition management issues.</FONT></SPAN></DIV>
<DIV dir=ltr align=left><SPAN class=733194715-05052006><FONT face=Arial
color=#0000ff size=2></FONT></SPAN> </DIV>
<DIV dir=ltr align=left><SPAN class=733194715-05052006><FONT face=Arial
color=#0000ff size=2>Here are some other collection models, that have the same
ubiquitous use and access as Pharmaceutical products:</FONT></SPAN></DIV>
<DIV dir=ltr align=left><SPAN class=733194715-05052006><FONT face=Arial
color=#0000ff size=2></FONT></SPAN> </DIV>
<DIV dir=ltr align=left><SPAN class=733194715-05052006><FONT face=Arial
color=#0000ff size=2>1) Small Household batteries have a voluntary
disposal system set up by one of the "For Profit" processors of these
batteries. It is called the Big Green Box, with the idea that people can
drop off at any location and they are mailed to a location that is authorized to
treat them and manage the residuals properly. This can be done by
retailers, business, government and the HHW groups. But they pay for the
service. The cost can be subsidized or passed on to the consumers.
There is a consortium of manufactures that take back all the rechargeable
batteries call RBRC and pay for the recycling of these, but they account
for less than 10% of the household battery sales.</FONT></SPAN></DIV>
<DIV dir=ltr align=left><SPAN class=733194715-05052006><FONT face=Arial
color=#0000ff size=2></FONT></SPAN> </DIV>
<DIV dir=ltr align=left><SPAN class=733194715-05052006><FONT face=Arial
color=#0000ff size=2>2) Cell Phones in California starting 7/1/06, if you sell
them you must take them back. If you sell over the internet you must
provide a return box for the old phone. The Cell phone manufacturer also
have set up the Wireless Foundation to recycle old cell phones, and they take
them for free. These costs will also be passed to
consumers.</FONT></SPAN></DIV>
<DIV dir=ltr align=left><SPAN class=733194715-05052006><FONT face=Arial
color=#0000ff size=2></FONT></SPAN> </DIV>
<DIV dir=ltr align=left><SPAN class=733194715-05052006><FONT face=Arial
color=#0000ff size=2>3) There are manufacturer take back programs for
electronics in Maine and in 2009 in Washington.</FONT></SPAN></DIV>
<DIV dir=ltr align=left><SPAN class=733194715-05052006><FONT face=Arial
color=#0000ff size=2></FONT></SPAN> </DIV>
<DIV dir=ltr align=left><SPAN class=733194715-05052006><FONT face=Arial
color=#0000ff size=2>4) The Advanced Disposal fee or CRV system for bottles,
cans, oil, tires and TVs and computer monitors in California is another
method. There is widespread fraud in the recycling claims in these
programs. These are government run programs that authorized collection
networks for those materials. The lowest overhead rate for these programs
is about 20% of the fees collected. The manufacturers of these
materials could do better, but most don't want the cost and responsibility
and would rather defer to the government. </FONT></SPAN></DIV>
<DIV dir=ltr align=left><SPAN class=733194715-05052006><FONT face=Arial
color=#0000ff size=2></FONT></SPAN> </DIV>
<DIV dir=ltr align=left><SPAN class=733194715-05052006><FONT face=Arial
color=#0000ff size=2>5) There are returnable container programs for
pesticides, beer kegs and bottles, milk bottles (old school throw back, but
growing with Organic milks) and propane tanks. These programs
are operated by the the manufacturers or bottling
companies.</FONT></SPAN></DIV>
<DIV dir=ltr align=left><SPAN class=733194715-05052006><FONT face=Arial
color=#0000ff size=2></FONT></SPAN> </DIV>
<DIV dir=ltr align=left><SPAN class=733194715-05052006><FONT face=Arial
color=#0000ff size=2>Once you collected the material, then what is the best
course? This question needs to be decided for each situation in concert
with the collection method. Each handling method raises security and
safety issues to be addressed. Dumping medication into a barrel of diesel
and sending for fuel blending is certainly a cheap and easy (in some states)
solution. This method poses other problems for regulated materials mixed
with non-regulated, transportation distance to fuel blending facilities, and
quality of incinerators processing this
material. </FONT></SPAN></DIV>
<DIV dir=ltr align=left><SPAN class=733194715-05052006><FONT face=Arial
color=#0000ff size=2></FONT></SPAN> </DIV>
<DIV dir=ltr align=left><SPAN class=733194715-05052006><FONT face=Arial
color=#0000ff size=2>Certainly a national approach will bring the most awareness
and consistency to proper management of this material.</FONT></SPAN></DIV>
<DIV dir=ltr align=left><SPAN class=733194715-05052006><FONT face=Arial
color=#0000ff size=2></FONT></SPAN> </DIV>
<DIV dir=ltr align=left><SPAN class=733194715-05052006><FONT face=Arial
color=#0000ff size=2>Matt McCarron</FONT></SPAN></DIV>
<DIV dir=ltr align=left><SPAN class=733194715-05052006><FONT face=Arial
color=#0000ff size=2>California Integrated Waste Management
Board</FONT></SPAN></DIV><BR>
<DIV class=OutlookMessageHeader lang=en-us dir=ltr align=left>
<HR tabIndex=-1>
<FONT face=Tahoma size=2><B>From:</B> pharmwaste-bounces@lists.dep.state.fl.us
[mailto:pharmwaste-bounces@lists.dep.state.fl.us] <B>On Behalf Of
</B>ilene.ruhoy@unlv.edu<BR><B>Sent:</B> Friday, May 05, 2006 7:54
AM<BR><B>To:</B> gressitt<BR><B>Cc:</B> 'Bill Lewry';
pharmwaste@lists.dep.state.fl.us<BR><B>Subject:</B> RE: [Pharmwaste] Pharmwaste
Digest, Vol. 6,Issue 3 (RE: Non-incinerationtechniques fro treatingRx expired
products)<BR></FONT><BR></DIV>
<DIV></DIV>
<P><BR>Before the decision to recycle or incinerate, we have to GET the drugs.
Having said that, I understand the dangerous complexities regarding the
collection of narcotics and other highly desireable substances. Yet, there are
many jobs in this country that we would consider "dangerous". There are
precautions that can be put in place. Obviously, the "guard" cannot have access
to the box. Patroled stop added to police roster. The box should be almost
impenetrable. The box should be easily accessible and in a place where it is
well lit with a lot of pedestrian traffic - pharmacies, hospitals, clinics,
health district offices, police stations, etc. Collection by reverse
distributors would have to be often to decrease the amount of accumulation.
Perhaps some cameras as in gas stations and cabs. Heavy marketing as a public
service. Etc. </P>
<P> Whats to stop Curly from holding up MDs and PharmDs, etc.? </P>
<P> </P>
<P>Ilene Ruhoy, MD</P>
<P>702-339-8370</P>
<P> </P>
<P> </P>
<P> </P>
<P><BR><FONT size=2><B>"gressitt"
<gressitt@uninets.net></B></FONT><BR><FONT size=2>Sent by:
pharmwaste-bounces@lists.dep.state.fl.us</FONT><BR><FONT size=2>05/04/2006 19:54
AST</FONT><BR><BR><FONT size=2>To:</FONT> <FONT size=2>"'Bill Lewry'"
<Bill_Lewry@kcmo.org>,
<pharmwaste@lists.dep.state.fl.us></FONT><BR><FONT size=2>cc:</FONT>
<BR><FONT size=2>bcc:</FONT> <BR><FONT size=2>Subject:</FONT> <FONT size=2>RE:
[Pharmwaste] Pharmwaste Digest, Vol. 6,Issue 3 (RE: Non-incineration techniques
fro treatingRxexpiredproducts)</FONT><BR> <BR><BR></P>
<P><FONT face=Arial color=navy size=2>I appreciate the simplicity of the
structure. </FONT><FONT color=black><BR><BR><BR><BR></FONT><FONT face=Arial
color=navy size=2>Just for a minute could I consult with my two buddies out in
the waiting room named, anonymously, Larry and Curly, Moe was sick today and
couldn’t make it even to the office. ( Doesn’t that actually sound like a good
reason to see a doctor?) </FONT><FONT color=black><BR><BR></FONT><FONT
face=Arial color=navy size=2>Larry has a new .38 and Curly has this newfangled
thing called a Kimber .45. They both have a shortage of oxycontin and have been
dumpster diving outside MD offices lately. Unsuccessfully. The “Anytown Village
Press” has just announced that HHW is going to have a Take-Back and they are
very very thirsty. Time for some target practice? Moe might even be healthy by
Saturday and he has a Beretta. </FONT><FONT
color=black><BR><BR><BR><BR></FONT><FONT face=Arial color=navy size=2>Here is
their offer to the HHW folks on the scheduled date and time: “We will take care
of your waste problem, just give us the box.” ( They were
grinning.)</FONT><FONT color=black><BR><BR><BR><BR></FONT><FONT face=Arial
color=navy size=2>Oh yes, Moe regained health miraculously and also had a
mini-14.</FONT><FONT color=black><BR><BR><BR><BR></FONT><FONT face=Arial
color=navy size=2>Your reply?</FONT><FONT
color=black><BR><BR><BR><BR></FONT><FONT face=Arial color=navy size=2>Stevan
Gressitt, M.D.</FONT><FONT color=black><BR><BR></FONT><FONT face=Arial
color=navy size=2>207-441-0291</FONT><FONT color=black><BR><BR></FONT></P>
<DIV align=center>
<HR align=center width="99%" SIZE=4>
<FONT color=black><BR></FONT></DIV>
<P><FONT face=Tahoma size=2><B>From:</B>Bill Lewry [<A
href="mailto:Bill_Lewry@kcmo.org">mailto:Bill_Lewry@kcmo.org</A>]
</FONT><BR><FONT face=Tahoma size=2><B>Sent:</B> Saturday, April 15, 2006 12:14
PM</FONT><BR><FONT face=Tahoma size=2><B>To:</B> Stevan Gressitt;
pharmwaste@lists.dep.state.fl.us</FONT><BR><FONT face=Tahoma
size=2><B>Subject:</B> RE: [Pharmwaste] Pharmwaste Digest, Vol. 6, Issue 3 (RE:
Non-incineration techniques fro treatingRx expired
products)</FONT><BR><BR><BR><BR><FONT face="Times New Roman">To
All:</FONT><BR><BR><FONT face="Times New Roman">The interest seems high, the
solution is appearing simple under the existing framework if municipalities and
states should so choose.</FONT><BR><BR><FONT face="Times New Roman">Return it
through HHW's (household hazardous waste Facilities.</FONT><BR><BR><FONT
face="Times New Roman">How: ??</FONT><BR><BR><FONT
face="Times New Roman">Relatively simply: </FONT><BR></P>
<UL><FONT face="Times New Roman">
<LI>Affiliate HHW facilities with law enforcement agencies, either at local,
county, state or federal level. (considering what they handle - they should be
as matter of course??) </FONT><FONT face="Times New Roman">
<LI>Have them contract with a DEA permitted incinerator, or... </FONT><FONT
face="Times New Roman">
<LI>By default, mixing with drum labelled D001 - flammable liquid, NOS -
consider the item destroyed in the blending process. It could then be used as
a fuel. DEA has the latitude to make this determination should it so choose,
as would local states or courts.</FONT><BR><BR></LI></UL>
<P><FONT face="Times New Roman">Problem solved. <B>To not use the simple,
readily available and functional would seem to create additional costs and
issues for the public at large and call into question the reasoning of those
creating yet another burdensome hoop for citizens at large.</B> (pharmacies
could even collect and a milk run be set up whereby the pharmacies could pay a
nominal fee (part of the cost of doing business) for disposal
services.</FONT><BR><BR><IMG src="HSPACE=5"><FONT face="Times New Roman">"Stevan
Gressitt" <gressitt@uninets.net></FONT><BR><BR><BR><BR>
<TABLE width="100%" border=1>
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<TR vAlign=top>
<TD width="40%"><FONT face="Times New Roman" color=black size=2><B>"Stevan
Gressitt" <gressitt@uninets.net></B></FONT><BR><FONT
face=Monospace,Courier size=2>Sent by:
pharmwaste-bounces@lists.dep.state.fl.us</FONT><FONT
face=Monospace,Courier> </FONT><BR><BR><FONT face="Times New Roman"
size=2>04/13/2006 08:06 PM</FONT></TD>
<TD width="60%">
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<TBODY>
<TR vAlign=top>
<TD width="11%"></FONT><FONT color=black><IMG src="HSPACE=5"></FONT>
<P></P>
<DIV align=right><BR><FONT face="Times New Roman"
size=2>To</FONT></DIV>
<P></P></TD>
<TD width="89%"><FONT color=black><IMG
src="HSPACE=5"><BR></FONT><FONT face=Monospace,Courier size=2>"'Jim
Todd'" <jim@wastenotwashington.org>,
<pharmwaste@lists.dep.state.fl.us></FONT></TD></TR>
<TR vAlign=top>
<TD width="11%"></FONT><FONT color=black><IMG src="HSPACE=5"></FONT>
<P></P>
<DIV align=right><BR><FONT face="Times New Roman"
size=2>cc</FONT></DIV>
<P></P></TD>
<TD width="89%"><FONT color=black><IMG
src="HSPACE=5"><BR></FONT></TD></TR>
<TR vAlign=top>
<TD width="11%"></FONT><FONT color=black><IMG src="HSPACE=5"></FONT>
<P></P>
<DIV align=right><BR><FONT face="Times New Roman"
size=2>Subject</FONT></DIV>
<P></P></TD>
<TD width="89%"><FONT color=black><IMG
src="HSPACE=5"><BR></FONT><FONT face=Monospace,Courier size=2>RE:
[Pharmwaste] Pharmwaste Digest, Vol. 6, Issue 3 (RE:
Non-incineration techniques fro treatingRx expired
products)</FONT></TD></TR></TBODY></TABLE></FONT>
<P></P>
<P>
<TABLE width="100%" border=1>
<TBODY>
<TR vAlign=top>
<TD width="38%"><FONT color=black><IMG src="HSPACE=5"><BR></FONT></TD>
<TD width="62%"></FONT><FONT color=black><IMG
src="HSPACE=5"><BR></FONT></TD></TR></TBODY></TABLE></FONT></P>
<P></P></TD></TR></TBODY></TABLE></P>
<P><FONT face="Courier New" size=2>I am interested as well. What happened to the
incinerator permit for</FONT><BR><FONT face="Courier New">Northern
California</FONT><FONT face=Monospace,Courier>? Stevan Gressitt,
M.D.</FONT><BR><BR><FONT face="Courier New">-----Original
Message-----</FONT><BR><FONT face="Courier New">From:
pharmwaste-bounces@lists.dep.state.fl.us</FONT><BR><FONT face="Courier New">[<A
href="mailto:pharmwaste-bounces@lists.dep.state.fl.us">mailto:pharmwaste-bounces@lists.dep.state.fl.us</A>]
On Behalf Of Jim Todd</FONT><BR><FONT face="Courier New">Sent: Wednesday, April
12, 2006 1:48 PM</FONT><BR><FONT face="Courier New">To:
pharmwaste@lists.dep.state.fl.us</FONT><BR><FONT face="Courier New">Subject:
[Pharmwaste] Pharmwaste Digest, Vol. 6,Issue 3 (RE:</FONT><BR><FONT
face="Courier New">Non-incineration techniques fro treatingRx expired
products)</FONT><BR><BR><FONT face="Courier New">I share Ahmed Hamza's interest
in non-incineration technologies for</FONT><BR><FONT
face="Courier New">disposing of unwanted pharmaceuticals. Recycling of
plastic medicine</FONT><BR><FONT face="Courier New">containers, etc. is also of
interest.</FONT><BR><BR><FONT face="Courier New">I would very much appreciate
learning about the list serve mentioned by</FONT><BR><FONT
face="Courier New">Charlotte A. Smith.</FONT><BR><BR><FONT
face="Courier New">Jim Todd</FONT><BR><FONT face="Courier New">Project
Manager</FONT><BR><FONT face="Courier New">Pharmaceuticals Take-Back
Project</FONT><BR><FONT
face="Courier New">***********************</FONT><BR><FONT face="Courier New">WA
Citizens for Resource Conservation</FONT><BR><FONT face="Courier New"
color=blue><U><A
href="http://wastenotwashington.org/">http://wastenotwashington.org/</A></U></FONT><FONT
color=black><BR></FONT><FONT face="Courier New">2021 3rd Ave</FONT><BR><FONT
face="Courier New">Seattle, WA98121</FONT><BR><FONT
face="Courier New">206.441.1791</FONT><BR><BR><FONT
face="Courier New">_______________________________________________</FONT><BR><FONT
face="Courier New">Pharmwaste mailing list</FONT><BR><FONT
face="Courier New">Pharmwaste@lists.dep.state.fl.us</FONT><BR><FONT
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href="http://lists.dep.state.fl.us/cgi-bin/mailman/listinfo/pharmwaste">http://lists.dep.state.fl.us/cgi-bin/mailman/listinfo/pharmwaste</A></FONT><BR><BR><BR><FONT
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