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<DIV><SPAN class=754131323-20032008><FONT face=Arial
size=2>Matthew,</FONT></SPAN></DIV>
<DIV><SPAN class=754131323-20032008><FONT face=Arial size=2>I just want to
clarify the 40% - 50% you refer to. It's my understanding that this figure
is OF PRESCRIPTION DRUGS COLLECTED AT TAKE-BACK PROGRAMS and
not</FONT></SPAN></DIV>
<DIV><SPAN class=754131323-20032008><FONT face=Arial size=2>40% - 50% of
prescription drugs. Please, could you clarify this?</FONT></SPAN></DIV>
<DIV><SPAN class=754131323-20032008><FONT face=Arial
size=2></FONT></SPAN> </DIV>
<DIV><SPAN class=754131323-20032008><FONT face=Arial size=2>Also, I know that
there are many different sources for rates of disposing of drugs down
the drain. I would like to add to the data in use by giving
statistics from a survey performed on a sample of King County
residents (Seattle, WA area). When asked "How does your household typically get
rid of unused or expired medicines?" the responses
were: </FONT></SPAN></DIV>
<DIV><SPAN class=754131323-20032008><FONT face=Arial size=2>52% put in household
garbage/trash and</FONT></SPAN></DIV>
<DIV><SPAN class=754131323-20032008><FONT face=Arial size=2>20% flush down the
toilet or sink</FONT></SPAN></DIV>
<DIV><SPAN class=754131323-20032008><FONT face=Arial size=2>The remainder
reported using other methods or responded with "does not
apply".</FONT></SPAN></DIV>
<DIV><SPAN class=754131323-20032008><FONT face=Arial size=2>(The margin of error
is +/- 4%.)</FONT></SPAN></DIV>
<DIV><SPAN class=754131323-20032008><FONT face=Arial size=2>For more survey
results, check out <A
href="http://wastenotwashington.org/Pharmsurveyhighlights.htm">http://wastenotwashington.org/Pharmsurveyhighlights.htm</A>.</FONT></SPAN></DIV>
<DIV><SPAN class=754131323-20032008><FONT face=Arial
size=2></FONT></SPAN> </DIV>
<DIV><SPAN class=754131323-20032008><FONT face=Arial
size=2>Thanks,</FONT></SPAN></DIV>
<DIV><SPAN class=754131323-20032008><FONT face=Arial size=2>Eva
Dale</FONT></SPAN></DIV>
<DIV><SPAN class=754131323-20032008>
<P align=left><FONT face=Arial size=2>Pharmaceuticals and the Environment
Project <BR>**************************************************** <BR>Washington
Citizens for Resource Conservation <BR>2021 Third Avenue <BR>Seattle, WA 98121
<BR>(206) 441-1790 </FONT></P>
<P style="MARGIN-TOP: 0px; MARGIN-BOTTOM: 0px; MARGIN-LEFT: 0px"
align=left><FONT face=Arial size=2>eva@wastenotwashington.org</FONT></P>
<P style="MARGIN-TOP: 0px; MARGIN-BOTTOM: 0px; MARGIN-LEFT: 0px"
align=left><FONT face=Arial size=2>www.wastenotwashington.org
</FONT></P></SPAN></DIV>
<DIV><SPAN class=754131323-20032008><FONT face=Arial color=#0000ff
size=2></FONT></SPAN> </DIV>
<BLOCKQUOTE dir=ltr style="MARGIN-RIGHT: 0px">
<DIV class=OutlookMessageHeader dir=ltr align=left><FONT face=Tahoma
size=2>-----Original Message-----<BR><B>From:</B>
pharmwaste-bounces@lists.dep.state.fl.us
[mailto:pharmwaste-bounces@lists.dep.state.fl.us]<B>On Behalf Of </B>matthew
mireles<BR><B>Sent:</B> Thursday, March 20, 2008 7:51 AM<BR><B>To:</B>
'Richard Buggeln'; pharmwaste@lists.dep.state.fl.us<BR><B>Subject:</B> RE:
[Pharmwaste] Does your state have a list
ofhazardouspharmaceuticals?<BR><BR></FONT></DIV>
<DIV class=Section1>
<P class=MsoNormal><FONT face=Arial color=black size=2><SPAN
style="FONT-SIZE: 10pt; COLOR: black; FONT-FAMILY: Arial">Richard,<o:p></o:p></SPAN></FONT></P>
<P class=MsoNormal><FONT face=Arial color=black size=2><SPAN
style="FONT-SIZE: 10pt; COLOR: black; FONT-FAMILY: Arial"><o:p> </o:p></SPAN></FONT></P>
<P class=MsoNormal><FONT face=Arial color=black size=2><SPAN
style="FONT-SIZE: 10pt; COLOR: black; FONT-FAMILY: Arial">We code
pharmaceutical products based on the PBT Index (persistence in the
environment, bioaccumulation, and toxicity) for our National Unused and
Expired Medicines Registry. This classification system, developed by our
Swedish counterpart, is used widely in <st1:place w:st="on">Europe</st1:place>
to categorize environmental hazard potential of common medicines that might
get into the water. The testing is based on standard risk assessment
methods. There are only about 300 drugs on this current list, and we are
working to help the Swedish group expand this list. Are you familiar
with this system?<o:p></o:p></SPAN></FONT></P>
<P class=MsoNormal><FONT face=Arial color=black size=2><SPAN
style="FONT-SIZE: 10pt; COLOR: black; FONT-FAMILY: Arial"><o:p> </o:p></SPAN></FONT></P>
<P class=MsoNormal><FONT face=Arial color=black size=2><SPAN
style="FONT-SIZE: 10pt; COLOR: black; FONT-FAMILY: Arial">I can talk to you
more in detail about our Registry and application of this classification
system. Is anyone else collecting data on returned consumers’
pharmaceutical products? We would love to compare data. We now
have good data from the west and east coast and discovered that about 40%-50%
of prescription drugs are never used by the consumers and usually would be
thrown away by flush down the toilet and sink. This is a very disturbing
finding.<o:p></o:p></SPAN></FONT></P>
<P class=MsoNormal><FONT face=Arial color=black size=2><SPAN
style="FONT-SIZE: 10pt; COLOR: black; FONT-FAMILY: Arial"><o:p> </o:p></SPAN></FONT></P>
<P class=MsoNormal><FONT face=Arial color=black size=2><SPAN
style="FONT-SIZE: 10pt; COLOR: black; FONT-FAMILY: Arial"><o:p> </o:p></SPAN></FONT></P>
<P class=MsoNormal><FONT face=Arial color=black size=2><SPAN
style="FONT-SIZE: 10pt; COLOR: black; FONT-FAMILY: Arial">Matthew C. Mireles,
PhD, MPH<o:p></o:p></SPAN></FONT></P>
<P class=MsoNormal><FONT face=Arial color=black size=2><SPAN
style="FONT-SIZE: 10pt; COLOR: black; FONT-FAMILY: Arial">President and
CEO<o:p></o:p></SPAN></FONT></P>
<P class=MsoNormal><FONT face=Arial color=black size=2><SPAN
style="FONT-SIZE: 10pt; COLOR: black; FONT-FAMILY: Arial">Community Medical
Foundation for Patient Safety<o:p></o:p></SPAN></FONT></P>
<P class=MsoNormal><FONT face=Arial color=black size=2><SPAN
style="FONT-SIZE: 10pt; COLOR: black; FONT-FAMILY: Arial"><A
href="http://www.comofcom.com/">www.comofcom.com</A><o:p></o:p></SPAN></FONT></P>
<P class=MsoNormal><FONT face=Arial color=black size=2><SPAN
style="FONT-SIZE: 10pt; COLOR: black; FONT-FAMILY: Arial"><o:p> </o:p></SPAN></FONT></P>
<P class=MsoNormal><FONT face=Arial color=black size=2><SPAN
style="FONT-SIZE: 10pt; COLOR: black; FONT-FAMILY: Arial"><o:p> </o:p></SPAN></FONT></P>
<DIV>
<DIV class=MsoNormal style="TEXT-ALIGN: center" align=center><FONT
face="Times New Roman" size=3><SPAN style="FONT-SIZE: 12pt">
<HR tabIndex=-1 align=center width="100%" SIZE=2>
</SPAN></FONT></DIV>
<P class=MsoNormal><B><FONT face=Tahoma size=2><SPAN
style="FONT-WEIGHT: bold; FONT-SIZE: 10pt; FONT-FAMILY: Tahoma">From:</SPAN></FONT></B><FONT
face=Tahoma size=2><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: Tahoma">
pharmwaste-bounces@lists.dep.state.fl.us
[mailto:pharmwaste-bounces@lists.dep.state.fl.us] <B><SPAN
style="FONT-WEIGHT: bold">On Behalf Of </SPAN></B>Richard Buggeln<BR><B><SPAN
style="FONT-WEIGHT: bold">Sent:</SPAN></B> Friday, March 14, 2008 8:42
AM<BR><B><SPAN style="FONT-WEIGHT: bold">To:</SPAN></B>
pharmwaste@lists.dep.state.fl.us<BR><B><SPAN
style="FONT-WEIGHT: bold">Subject:</SPAN></B> [Pharmwaste] Does your state
have a list of hazardouspharmaceuticals?</SPAN></FONT><o:p></o:p></P></DIV>
<P class=MsoNormal><FONT face="Times New Roman" size=3><SPAN
style="FONT-SIZE: 12pt"><o:p> </o:p></SPAN></FONT></P>
<P class=MsoNormal><FONT face="Times New Roman" size=3><SPAN
style="FONT-SIZE: 12pt"><BR></SPAN></FONT><FONT face=sans-serif size=2><SPAN
style="FONT-SIZE: 10pt; FONT-FAMILY: sans-serif">Colleagues...</SPAN></FONT>
<BR><BR><st1:State w:st="on"><st1:place w:st="on"><FONT face=sans-serif
size=2><SPAN
style="FONT-SIZE: 10pt; FONT-FAMILY: sans-serif">Florida</SPAN></FONT></st1:place></st1:State><FONT
face=sans-serif size=2><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: sans-serif">
has a list of some 200+ hazardous pharmaceuticals...a useful aid for hospitals
and regulators. <st1:State w:st="on">Tennessee</st1:State> regulators
have asked whether other states have similar lists, perhaps even more
inclusive than <st1:State w:st="on"><st1:place
w:st="on">Florida</st1:place></st1:State>'s list. I would appreciate
hearing from you, whether or not you have a list of hazardous pharms---and/or
personal care products---so that Tennessee Department of Environment and
Conservation "knows what's out there". I would happy to provide you with
the final compilation of information.</SPAN></FONT> <BR><BR><FONT
face=sans-serif size=2><SPAN
style="FONT-SIZE: 10pt; FONT-FAMILY: sans-serif">Thanks for your
help.</SPAN></FONT> <BR><BR><FONT face=sans-serif size=2><SPAN
style="FONT-SIZE: 10pt; FONT-FAMILY: sans-serif">Regards,</SPAN></FONT>
<BR><BR><FONT face=sans-serif size=2><SPAN
style="FONT-SIZE: 10pt; FONT-FAMILY: sans-serif">Richard Buggeln,
Ph.D.</SPAN></FONT> <BR><FONT face=sans-serif size=2><SPAN
style="FONT-SIZE: 10pt; FONT-FAMILY: sans-serif">Manager, Environmental
Programs &<BR><st1:State w:st="on"><st1:place
w:st="on">Tennessee</st1:place></st1:State> Materials Exchange<BR><st1:place
w:st="on"><st1:PlaceType w:st="on">University</st1:PlaceType> of
<st1:PlaceName w:st="on">Tennessee</st1:PlaceName></st1:place><BR>Center for
Industrial Services<BR>105 Student Services Bldg.<BR><st1:place
w:st="on"><st1:City w:st="on">Knoxville</st1:City>, <st1:State
w:st="on">TN</st1:State> <st1:PostalCode
w:st="on">37996</st1:PostalCode></st1:place><BR>Phone: 865.974.9058<BR>fax:
865.974.1528</SPAN></FONT><o:p></o:p></P></DIV></BLOCKQUOTE></BODY></HTML>