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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>&nbsp;</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.&nbsp; 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.&nbsp; The testing is based on
standard risk assessment methods.&nbsp; There are only about 300 drugs on this
current list, and we are working to help the Swedish group expand this
list.&nbsp; 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>&nbsp;</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.&nbsp; Is anyone
else collecting data on returned consumers&#8217; pharmaceutical
products?&nbsp; We would love to compare data.&nbsp; 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.&nbsp; 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>&nbsp;</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>&nbsp;</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>&nbsp;</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>&nbsp;</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>&nbsp;</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. &nbsp;<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. &nbsp;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 &quot;knows what's out there&quot;. &nbsp;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 &amp;<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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