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<DIV><STRONG>Good Afternoon,</STRONG></DIV>
<DIV><STRONG></STRONG> </DIV>
<DIV><STRONG>Is incineration or recycling better? I am not sure the
question was answered. </STRONG></DIV>
<DIV><STRONG>Is anyone working on an alternative container for
pharmaceuticals? One that is environmentally friendly?</STRONG></DIV>
<DIV><STRONG></STRONG> </DIV>
<DIV><STRONG>Ms. Smith, I appreciate your concern about removing
medication from the original container because of pill identification
should someone need that information. Privacy is also a concern and the
law. </STRONG></DIV>
<DIV> </DIV>
<DIV> <STRONG>We conduct a program called "Operation Medicine Cabinet" in
Naples, Florida. Our County Wide take-back program includes Collier County Law
Enforcement and DrugFreeCollier (Substance Abuse Coalition)volunteer
coverage. </STRONG></DIV>
<DIV><STRONG></STRONG> </DIV>
<DIV><STRONG>Our intent is to educate the community about the alarming
dangers when children take medications from the household medicine
cabinets. We instruct on locking up medications one needs and bringing in
for incineration those that they do not need. We collect all medications
including controlled substances.</STRONG></DIV>
<DIV><STRONG></STRONG> </DIV>
<DIV><STRONG> Medications are deposited by the person who owns
the medication into a secured cardboard box. We ask that they pour the
pills directly into the box and discard or take home the containers. ( The
cardboard box is designed for easy transport and incineration by our Law
Enforcement Officers)</STRONG></DIV>
<DIV><STRONG></STRONG> </DIV>
<DIV><STRONG>Citizens may leave bottles, we black out labels and separate
plastic containers for recycling as much as possible. We tell citizens to
take their bottles home if they wish. We do not count or identify pills, we
collect all as abandoned property to assure personal privacy.</STRONG></DIV>
<DIV><STRONG></STRONG> </DIV>
<DIV><STRONG>If recycling vs incineration is not the best choice please let us
know. </STRONG></DIV>
<DIV><STRONG>Veora M.Little, CRNA</STRONG></DIV>
<DIV><STRONG><A
href="mailto:veoralittle@aol.com">veoralittle@aol.com</A></STRONG></DIV>
<DIV><STRONG></STRONG> </DIV>
<DIV><STRONG></STRONG> </DIV>
<DIV> </DIV>
<DIV>
<DIV>In a message dated 10/24/2008 10:24:56 A.M. Eastern Standard Time,
csmith@pharmecology.com writes:</DIV>
<BLOCKQUOTE
style="PADDING-LEFT: 5px; MARGIN-LEFT: 5px; BORDER-LEFT: blue 2px solid"><FONT
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<P class=MsoNormal><SPAN
style="FONT-SIZE: 11pt; COLOR: #1f497d; FONT-FAMILY: 'Calibri','sans-serif'">Hi
Catherine,<o:p></o:p></SPAN></P>
<P class=MsoNormal><SPAN
style="FONT-SIZE: 11pt; COLOR: #1f497d; FONT-FAMILY: 'Calibri','sans-serif'"><o:p> </o:p></SPAN></P>
<P class=MsoNormal><SPAN
style="FONT-SIZE: 11pt; COLOR: #1f497d; FONT-FAMILY: 'Calibri','sans-serif'"><o:p> </o:p></SPAN></P>
<P class=MsoNormal><SPAN
style="FONT-SIZE: 11pt; COLOR: #1f497d; FONT-FAMILY: 'Calibri','sans-serif'">Lynn
Rubenstein, Executive Director of the Northeast Recycling Council, did some
extensive research on this a few years ago. You might check with her at <A
title=mailto:lynn@nerc.org href="mailto:lynn@nerc.org">lynn@nerc.org</A> and
(802) 254-3636. >From another perspective, as a pharmacist I am
always extremely nervous when drugs are removed from their primary container
and their identity is lost. Should any diversion occur, resulting in overdose
or poisoning, it is impossible to treat the victim without adequate
information. This would also pertain to pets, etc. And there is also the
privacy issue regarding personal information. <o:p></o:p></SPAN></P>
<P class=MsoNormal><SPAN
style="FONT-SIZE: 11pt; COLOR: #1f497d; FONT-FAMILY: 'Calibri','sans-serif'"><o:p> </o:p></SPAN></P>
<P class=MsoNormal><SPAN
style="FONT-SIZE: 11pt; COLOR: #1f497d; FONT-FAMILY: 'Calibri','sans-serif'">Best
regards, <o:p></o:p></SPAN></P>
<DIV>
<P class=MsoNormal><SPAN
style="FONT-SIZE: 11pt; COLOR: #1f497d; FONT-FAMILY: 'Calibri','sans-serif'"><o:p> </o:p></SPAN></P>
<P class=MsoNormal><SPAN
style="FONT-SIZE: 11pt; COLOR: #1f497d; FONT-FAMILY: 'Calibri','sans-serif'">Charlotte
A. Smith, R. Ph., M.S., HEM<o:p></o:p></SPAN></P>
<P class=MsoNormal><SPAN
style="FONT-SIZE: 11pt; COLOR: #1f497d; FONT-FAMILY: 'Calibri','sans-serif'">President<o:p></o:p></SPAN></P>
<P class=MsoNormal><SPAN
style="FONT-SIZE: 11pt; COLOR: #1f497d; FONT-FAMILY: 'Calibri','sans-serif'">PharmEcology
Associates, LLC<o:p></o:p></SPAN></P>
<P class=MsoNormal><SPAN
style="FONT-SIZE: 11pt; COLOR: #1f497d; FONT-FAMILY: 'Calibri','sans-serif'">12229
W. North Ave., Suite 2<o:p></o:p></SPAN></P>
<P class=MsoNormal><SPAN
style="FONT-SIZE: 11pt; COLOR: #1f497d; FONT-FAMILY: 'Calibri','sans-serif'">Wauwatosa,
WI 53226<o:p></o:p></SPAN></P>
<P class=MsoNormal><SPAN
style="FONT-SIZE: 11pt; COLOR: #1f497d; FONT-FAMILY: 'Calibri','sans-serif'">414-292-3959<o:p></o:p></SPAN></P>
<P class=MsoNormal><SPAN
style="FONT-SIZE: 11pt; COLOR: #1f497d; FONT-FAMILY: 'Calibri','sans-serif'">414-915-4026(cell)</SPAN><SPAN
style="FONT-SIZE: 11pt; COLOR: red; FONT-FAMILY: 'Calibri','sans-serif'"><o:p></o:p></SPAN></P>
<P class=MsoNormal><SPAN
style="FONT-SIZE: 11pt; COLOR: #1f497d; FONT-FAMILY: 'Calibri','sans-serif'">csmith@pharmecology.com<o:p></o:p></SPAN></P>
<P class=MsoNormal><B><I><SPAN
style="FONT-SIZE: 14pt; COLOR: red; FONT-FAMILY: 'Calibri','sans-serif'">Visit
us at ASHP Booth #1727<o:p></o:p></SPAN></I></B></P></DIV>
<P class=MsoNormal><SPAN
style="FONT-SIZE: 11pt; COLOR: #1f497d; FONT-FAMILY: 'Calibri','sans-serif'"><o:p> </o:p></SPAN></P>
<DIV>
<DIV
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<P class=MsoNormal><B><SPAN
style="FONT-SIZE: 10pt; COLOR: windowtext; FONT-FAMILY: 'Tahoma','sans-serif'">From:</SPAN></B><SPAN
style="FONT-SIZE: 10pt; COLOR: windowtext; FONT-FAMILY: 'Tahoma','sans-serif'">
pharmwaste-bounces@lists.dep.state.fl.us
[mailto:pharmwaste-bounces@lists.dep.state.fl.us] <B>On Behalf Of
</B>Catherine Zimmer<BR><B>Sent:</B> Friday, October 24, 2008 9:46
AM<BR><B>To:</B> pharmwaste@lists.dep.state.fl.us<BR><B>Subject:</B>
[Pharmwaste] Better Environmental Benefit<o:p></o:p></SPAN></P></DIV></DIV>
<P class=MsoNormal><o:p> </o:p></P>
<P class=MsoNormal style="MARGIN-BOTTOM: 12pt">Hi all,<BR>Has anyone done, or
does anyone know of any research related to the environmental benefits or
life-cycle of recycling used prescription bottles vs. incineration of
them? Here are the issues:<o:p></o:p></P>
<OL type=1>
<LI class=MsoNormal
style="mso-margin-top-alt: auto; mso-margin-bottom-alt: auto; mso-list: l0 level1 lfo1">Recycling
of the bottles, while reclaiming the polypropylene plastic, is likely
down-cycling and the pharmaceutical residue in the bottles is likely sent to
wastewater.<o:p></o:p>
<LI class=MsoNormal
style="mso-margin-top-alt: auto; mso-margin-bottom-alt: auto; mso-list: l0 level1 lfo1">Incineration
of the bottles, while has some energy benefit, has ash and air emission
concerns. <o:p></o:p></LI></OL>
<P class=MsoNormal>Thanks for your help! <BR><BR><o:p></o:p></P><PRE>-- <o:p></o:p></PRE><PRE>Catherine Zimmer<o:p></o:p></PRE><PRE>Health Care Specialist<o:p></o:p></PRE><PRE><o:p> </o:p></PRE><PRE>Minnesota Technical Assistance Program<o:p></o:p></PRE><PRE>University of Minnesota<o:p></o:p></PRE><PRE>612.624.4635, 800.247.0015<o:p></o:p></PRE><PRE><A title=http://www.mntap.umn.edu/ href="http://www.mntap.umn.edu/">http://www.mntap.umn.edu</A><o:p></o:p></PRE><PRE><o:p> </o:p></PRE><PRE>Helping Minnesota businesses maximize resource efficiency, increase energy efficiency, reduce costs, and prevent pollution<o:p></o:p></PRE></DIV><BR><BR>_______________________________________________<BR>Pharmwaste
mailing
list<BR>Pharmwaste@lists.dep.state.fl.us<BR>http://lists.dep.state.fl.us/cgi-bin/mailman/listinfo/pharmwaste<BR></FONT></BLOCKQUOTE></DIV></FONT></FONT></FONT></FONT><BR><BR><BR><DIV CLASS="aol_ad_footer" ID="e7266d7adbec75101b8ad5261e22530d"><FONT style="color: black; font: normal 10pt ARIAL, SAN-SERIF;"><HR style="MARGIN-TOP: 10px">Play online games for FREE at Games.com! All of your favorites, no registration required and great graphics – <a href="http://pr.atwola.com/promoclk/100000075x1211202682x1200689022/aol?redir=
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