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<p class=MsoNormal><font size=2 color=black face=Arial><span style='font-size:
10.0pt;font-family:Arial;color:black'>Richard,<o:p></o:p></span></font></p>
<p class=MsoNormal><font size=2 color=black face=Arial><span style='font-size:
10.0pt;font-family:Arial;color:black'><o:p> </o:p></span></font></p>
<p class=MsoNormal><font size=2 color=black face=Arial><span style='font-size:
10.0pt;font-family:Arial;color:black'>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 size=2 color=black face=Arial><span style='font-size:
10.0pt;font-family:Arial;color:black'><o:p> </o:p></span></font></p>
<p class=MsoNormal><font size=2 color=black face=Arial><span style='font-size:
10.0pt;font-family:Arial;color:black'>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 size=2 color=black face=Arial><span style='font-size:
10.0pt;font-family:Arial;color:black'><o:p> </o:p></span></font></p>
<p class=MsoNormal><font size=2 color=black face=Arial><span style='font-size:
10.0pt;font-family:Arial;color:black'><o:p> </o:p></span></font></p>
<p class=MsoNormal><font size=2 color=black face=Arial><span style='font-size:
10.0pt;font-family:Arial;color:black'>Matthew C. Mireles, PhD, MPH<o:p></o:p></span></font></p>
<p class=MsoNormal><font size=2 color=black face=Arial><span style='font-size:
10.0pt;font-family:Arial;color:black'>President and CEO<o:p></o:p></span></font></p>
<p class=MsoNormal><font size=2 color=black face=Arial><span style='font-size:
10.0pt;font-family:Arial;color:black'>Community Medical Foundation for Patient
Safety<o:p></o:p></span></font></p>
<p class=MsoNormal><font size=2 color=black face=Arial><span style='font-size:
10.0pt;font-family:Arial;color:black'><a href="http://www.comofcom.com/">www.comofcom.com</a><o:p></o:p></span></font></p>
<p class=MsoNormal><font size=2 color=black face=Arial><span style='font-size:
10.0pt;font-family:Arial;color:black'><o:p> </o:p></span></font></p>
<p class=MsoNormal><font size=2 color=black face=Arial><span style='font-size:
10.0pt;font-family:Arial;color:black'><o:p> </o:p></span></font></p>
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<p class=MsoNormal><b><font size=2 face=Tahoma><span style='font-size:10.0pt;
font-family:Tahoma;font-weight:bold'>From:</span></font></b><font size=2
face=Tahoma><span style='font-size:10.0pt;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>
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<p class=MsoNormal><font size=3 face="Times New Roman"><span style='font-size:
12.0pt'><o:p> </o:p></span></font></p>
<p class=MsoNormal><font size=3 face="Times New Roman"><span style='font-size:
12.0pt'><br>
</span></font><font size=2 face=sans-serif><span style='font-size:10.0pt;
font-family:sans-serif'>Colleagues...</span></font> <br>
<br>
<st1:State w:st="on"><st1:place w:st="on"><font size=2 face=sans-serif><span
style='font-size:10.0pt;font-family:sans-serif'>Florida</span></font></st1:place></st1:State><font
size=2 face=sans-serif><span style='font-size:10.0pt;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 size=2 face=sans-serif><span style='font-size:10.0pt;font-family:sans-serif'>Thanks
for your help.</span></font> <br>
<br>
<font size=2 face=sans-serif><span style='font-size:10.0pt;font-family:sans-serif'>Regards,</span></font>
<br>
<br>
<font size=2 face=sans-serif><span style='font-size:10.0pt;font-family:sans-serif'>Richard
Buggeln, Ph.D.</span></font> <br>
<font size=2 face=sans-serif><span style='font-size:10.0pt;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>
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