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<P>I forgot about that point regarding the same companies selling hand sanitizers and hand lotions. Outside the hospital, the same bottle of Purell at Walgreen is on sale for 99 cents. You might get 2 for price of one. In the hospital, the same bottle is about 3 x the price. Can we spell healthcare reform? Don't forget about the increased demand for plastic containers.</P>
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<P>The information about the hepatic problems associated with exposure to chloroform and the subsequent deleterious health outcomes [do I get the bonus point? I even spelled it correctly] was interesting. I'm an occupational epidemiologist.</P>
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<P>Matthew Mireles<BR><BR><BR></P>
<BLOCKQUOTE style="BORDER-LEFT: #0000ff 2px solid; PADDING-LEFT: 5px; MARGIN-LEFT: 0px">-----Original Message----- <BR>From: TBadrick@aol.com <BR>Sent: Sep 29, 2009 7:05 PM <BR>To: mirelesmc@earthlink.net, Jennifer.Volkman@state.mn.us, pharmwaste@lists.dep.state.fl.us <BR>Cc: jerrymiller@communityofcompetence.com, smithce@flash.net, mcmireles@communityofcompetence.com, linkfilion@yahoo.com, ddotan@crgmedical.com <BR>Subject: Re: [Pharmwaste] RE: hand sanitizer <BR><BR><ZZZHTML xmlns:o REC-html40="http://www.w3.org/TR/REC-html40" TR www.w3.org http: XMLNS:[default]="http://www.w3.org/TR/REC-html40"><ZZZHEAD><ZZZMETA http-equiv="Content-Type" content="text/html; charset=UTF-8"><ZZZMETA content="MSHTML 8.00.6001.18813" name="GENERATOR"></ZZZHEAD><ZZZBODY style="FONT-FAMILY: Arial; COLOR: #000000; FONT-SIZE: 10pt" id=role_body topMargin="7" rightMargin="7" leftMargin="7" bottomMargin="7"><FONT id=role_document color=#000000 size=2 face=Arial>
<DIV>Cool we need more chloroform ;-) Many years ago I managed a recycling program for the charming solvent and learned all about how unpleasant chlorinated (and fluorinated) solvents were. Right after that I worked for an electronics company (safety officer) where staff would tell me how the freon based vapor degreasers were great for acne treatment on their faces. Don't forget chloroforms highly proven ability to damage livers including enhancing the deleterious effects on alcohol on the liver.</DIV>
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<DIV>I've heard widespread dermatitis to more hand sanitizing products than alcohol based and surprise, those companies also sell lotions.</DIV>
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<DIV>we could probably pay for a national drug take back program by investing in those products as a group ;-)</DIV>
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<DIV>Tom Badrick</DIV>
<DIV>who wants bonus points for using deleterious correctly</DIV>
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<DIV>In a message dated 9/29/2009 3:52:59 P.M. Pacific Daylight Time, mirelesmc@earthlink.net writes:</DIV>
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<P>There are also some product complaints about dermatitis from overuse. Alcohol is one of the best reagent and solvent (break down fats, easily absorbed transdermally, and good disinfectant) that dissolves non-polar substances. </P>
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<P>Now is the time to invest in companies that make Purell, Germ-X, GermOut, Lysol, and Baccide. I believe these products fall under cosmetics not medical. Therefore, regulation is almost none. </P>
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<P>More of these products are adding triclosan and benzalkonium chloride to fight germs. There a growing concern that benzalkonium Cl is actually promoting resistance in MRSA. Triclosan is showing up more and more in our environmen as one of the most prevalent organic contaminants in waste water. When added to chlorine (e.g. from tap water), guess what? Chloroform is made. What a great organic chem lesson!</P>
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<P>Chloroform is a highly suspected human carcinogen!</P>
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<P>Attempts with alcohol-free products have not been too successful. Just a few months ago, Clarcon hand sanitzer was pulled from market because studies found the produce to cause opportunistic skin infections.</P>
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<P>Back to soap and water.</P>
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<P>Matthew C. Mireles, PhD, MPH</P>
<P>President and CEO</P>
<P>Community Medical Foundation for Patient Safety</P>
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<BLOCKQUOTE style="BORDER-LEFT: #0000ff 2px solid; PADDING-LEFT: 5px; MARGIN-LEFT: 0px">-----Original Message----- <BR>From: "Volkman, Jennifer" <JENNIFER.VOLKMAN@STATE.MN.US><BR>Sent: Sep 29, 2009 6:22 PM <BR>To: TBadrick@aol.com, pharmwaste@lists.dep.state.fl.us <BR>Subject: RE: [Pharmwaste] RE: hand sanitizer <BR><BR><?XML:NAMESPACE PREFIX = [default] http://www.w3.org/TR/REC-html40 NS = "http://www.w3.org/TR/REC-html40" /><ZZZhtml xmlns="http://www.w3.org/TR/REC-html40" xmlns:st="" xmlns:Z="urn:schemas-microsoft-com:" xmlns:spsl="http://microsoft.com/webservices/SharePointPortalServer/PublishedLinksService" xmlns:pptsl="http://schemas.microsoft.com/sharepoint/soap/SlideLibrary/" xmlns:ex12m="http://schemas.microsoft.com/exchange/services/2006/messages" xmlns:ex12t="http://schemas.microsoft.com/exchange/services/2006/types" xmlns:spwp="http://microsoft.com/sharepoint/webpartpages" xmlns:mrels="http://schemas.openxmlformats.org/package/2006/relationships" xmlns:m="http://schemas.microsoft.com/office/2004/12/omml" xmlns:mver="http://schemas.openxmlformats.org/markup-compatibility/2006" xmlns:mdssi="http://schemas.openxmlformats.org/package/2006/digital-signature" xmlns:dssi="http://schemas.microsoft.com/office/2006/digsig" xmlns:dsss="http://schemas.microsoft.com/office/2006/digsig-setup" xmlns:wf="http://schemas.microsoft.com/sharepoint/soap/workflow/" xmlns:udcp2p="http://schemas.microsoft.com/data/udc/parttopart" xmlns:udcxf="http://schemas.microsoft.com/data/udc/xmlfile" xmlns:udcs="http://schemas.microsoft.com/data/udc/soap" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xmlns:sps="http://schemas.microsoft.com/sharepoint/soap/" xmlns:sp="http://schemas.microsoft.com/sharepoint/" xmlns:ec="http://www.w3.org/2001/04/xmlenc#" xmlns:sub="http://schemas.microsoft.com/sharepoint/soap/2002/1/alerts/" xmlns:xsd="http://www.w3.org/2001/XMLSchema" xmlns:udc="http://schemas.microsoft.com/data/udc" xmlns:dsp="http://schemas.microsoft.com/sharepoint/dsp" xmlns:ds="http://www.w3.org/2000/09/xmldsig#" xmlns:dir="http://schemas.microsoft.com/sharepoint/soap/directory/" xmlns:ois="http://schemas.microsoft.com/sharepoint/soap/ois/" xmlns:ppda="http://www.passport.com/NameSpace.xsd" xmlns:x2="http://schemas.microsoft.com/office/excel/2003/xml" xmlns:mt="http://schemas.microsoft.com/sharepoint/soap/meetings/" xmlns:Repl="http://schemas.microsoft.com/repl/" xmlns:D="DAV:" xmlns:rtc="http://microsoft.com/officenet/conferencing" xmlns:q="http://schemas.xmlsoap.org/soap/envelope/" xmlns:ZZZhtml="http://www.w3.org/TR/REC-html40" xmlns:oa="urn:schemas-microsoft-com:office:activation" xmlns:odc="urn:schemas-microsoft-com:office:odc" xmlns:c="urn:schemas-microsoft-com:office:component:spreadsheet" xmlns:ss="urn:schemas-microsoft-com:office:spreadsheet" xmlns:b="urn:schemas-microsoft-com:office:publisher" xmlns:z="#RowsetSchema" xmlns:rs="urn:schemas-microsoft-com:rowset" xmlns:s="uuid:BDC6E3F0-6DA3-11d1-A2A3-00AA00C14882" xmlns:dt="uuid:C2F41010-65B3-11d1-A29F-00AA00C14882" xmlns:a="urn:schemas-microsoft-com:office:access" xmlns:p="urn:schemas-microsoft-com:office:powerpoint" xmlns:x="urn:schemas-microsoft-com:office:excel" xmlns:w="urn:schemas-microsoft-com:office:word" xmlns:o="urn:schemas-microsoft-com:office:office" xmlns:v="urn:schemas-microsoft-com:vml"><ZZZhead><ZZZmeta http-equiv="Content-Type" content="text/html; charset=us-ascii"><ZZZmeta content="Microsoft Word 12 (filtered medium)" name="Generator">
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<P class=MsoPlainText>My kids haven’t been asked to carry concealed yet. They used to get an extra credit point for bringing a box of tissues to class, but the school disallowed that practice this year because they felt it might be unfair to those who could not afford to supply the school with tissues. So, the kids are packing their own or using the back of the hand, wall, desk or whatever is handy. Management at our state agency (and probably all of them in MN) issued each desk a 4 oz bottle (apparently this equals about 8 martinis) and a container of wipes. I've heard they will be installing dispensers outside all of our conference rooms, just like hospitals. A nurse friend of mine said they had to switch to another type of sanitizer at her hospital because too many employees (they like to blame the janitors) were adding a shot to their morning coffee. It fits right in with all the other craziness…must be something in the water…<o:p></o:p></P>
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<P class=MsoNormal><B><SPAN style="FONT-FAMILY: 'Tahoma','sans-serif'; FONT-SIZE: 10pt">From:</SPAN></B><SPAN style="FONT-FAMILY: 'Tahoma','sans-serif'; FONT-SIZE: 10pt"> pharmwaste-bounces@lists.dep.state.fl.us [mailto:pharmwaste-bounces@lists.dep.state.fl.us] <B>On Behalf Of </B>TBadrick@aol.com<BR><B>Sent:</B> Tuesday, September 29, 2009 5:01 PM<BR><B>To:</B> pharmwaste@lists.dep.state.fl.us<BR><B>Subject:</B> Re: [Pharmwaste] RE: hand sanitizer<o:p></o:p></SPAN></P></DIV></DIV>
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<P class=MsoNormal><SPAN style="FONT-FAMILY: 'Arial','sans-serif'; COLOR: black; FONT-SIZE: 10pt">I refer to them as little bombs in the hospital. In an age where fire marshals freak out over recycling containers size due to fire risk....its okay to put aerosol containers (otherwise known as compressed gas cylinders) of flammable materials every twenty feet or so along a wall?.. gee I feel safe now. Whatever happened to soap and water and proper technique? is that too complicated? This is what happens when rampant uneducated fear trumps science and logic.<o:p></o:p></SPAN></P></DIV>
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<P class=MsoNormal><SPAN style="FONT-FAMILY: 'Arial','sans-serif'; COLOR: black; FONT-SIZE: 10pt">I clearly remember the day, sitting in the Reno airport bar and Wolf Blitzer comes on TV with a special report about deadly MRSA...all I could think about was how this would put a halt to all other hospital projects to solve a problem that really wasn't a problem, because guess what MRSA is already everywhere and that just employing proper hand washing would do just fine....sigghhhh, I must be getting older ;-)<o:p></o:p></SPAN></P></DIV>
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<P class=MsoNormal><SPAN style="FONT-FAMILY: 'Arial','sans-serif'; COLOR: black; FONT-SIZE: 10pt">Tom Badrick<o:p></o:p></SPAN></P></DIV>
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<P class=MsoNormal><SPAN style="FONT-FAMILY: 'Arial','sans-serif'; COLOR: black; FONT-SIZE: 10pt">Badrick Consulting<o:p></o:p></SPAN></P></DIV>
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<P class=MsoNormal><SPAN style="FONT-FAMILY: 'Arial','sans-serif'; COLOR: black; FONT-SIZE: 10pt">In a message dated 9/29/2009 12:28:22 P.M. Pacific Daylight Time, Lyle.Milby@NormanOK.gov writes:<o:p></o:p></SPAN></P></DIV>
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<P class=MsoNormal><SPAN style="FONT-FAMILY: 'Arial','sans-serif'; COLOR: black; FONT-SIZE: 10pt">Our school system is putting these out in all of the schools at the<BR>recommendation of the County Health Department in response to H1N1. Our<BR>Fire Department expressed reservations but they decided to go ahead with<BR>it. I assume it is an alcohol based product because of the fire<BR>department concern.<BR><BR>Lyle Milby<BR>City of Norman<BR>Environmental Services<BR>P.O. Box 370<BR>Norman, OK 73070<BR>(405) 292-9731<BR>lyle.milby@normanok.gov<BR><BR><BR>-----Original Message-----<BR>From: pharmwaste-bounces@lists.dep.state.fl.us<BR>[mailto:pharmwaste-bounces@lists.dep.state.fl.us] On Behalf Of Suhr,<BR>Marcus W.<BR>Sent: Tuesday, September 29, 2009 2:20 PM<BR>To: pharmwaste@lists.dep.state.fl.us<BR>Subject: [Pharmwaste] RE: hand sanitizer<BR><BR>I read an article where a child was poisoned by alcohol sanitizer<BR>recently. Its only a matter of time before a child dies, or they start<BR>getting the swift idea of lighting it. My own step-son was required by<BR>the school to bring a bottle to begin the year. This is a clear example<BR>of bringing an item to market, and not enough controls. Everyone thinks<BR>sanitizer is so great. <BR><BR>Anyone else being requested to bring it to school? <BR><BR>Marcus Suhr, ASP <BR>Industrial Hygienist <BR>Christiana Care Health Services <BR>Occupational Safety Department, Office L840J <BR>4755 Ogletown-Stanton Road <BR>Newark, DE 19718 <BR>302-733-3787 (office)<BR>302-573-7662 (pager) <BR>302-733-3771 (fax) <BR>MSuhr@christianacare.org<BR><BR><BR>---<BR>Note: As a courtesy to other listserv subscribers, please post messages<BR>to the listserv in plain text format to avoid the garbling of messages<BR>received by digest recipients.<BR>---<BR>TO SUBSCRIBE, go to:<BR>http://lists.dep.state.fl.us/cgi-bin/mailman/listinfo/pharmwaste <BR>TO UNSUBSCRIBE, DO NOT REPLY TO THE LISTSERV. Please send an e-mail to<BR>pharmwaste-unsubscribe@lists.dep.state.fl.us -- the subject line and<BR>body of the e-mail should be blank.<BR>If you believe you may be subscribed with a different email address,<BR>please visit the subscriber listing at<BR>http://lists.dep.state.fl.us/cgi-bin/mailman/roster/pharmwaste <BR>FOR PROBLEMS: Contact List Administrator Laurie.Tenace@dep.state.fl.us <BR>SEND MAIL to the list server at: pharmwaste@lists.dep.state.fl.us<BR>---<BR>Note: As a courtesy to other listserv subscribers, please post messages to the listserv in plain text format to avoid the garbling of messages received by digest recipients.<BR>---<BR>TO SUBSCRIBE, go to: http://lists.dep.state.fl.us/cgi-bin/mailman/listinfo/pharmwaste <BR>TO UNSUBSCRIBE, DO NOT REPLY TO THE LISTSERV. Please send an e-mail to pharmwaste-unsubscribe@lists.dep.state.fl.us -- the subject line and body of the e-mail should be blank.<BR>If you believe you may be subscribed with a different email address, please visit the subscriber listing at http://lists.dep.state.fl.us/cgi-bin/mailman/roster/pharmwaste <BR>FOR PROBLEMS: Contact List Administrator Laurie.Tenace@dep.state.fl.us <BR>SEND MAIL to the list server at: pharmwaste@lists.dep.state.fl.us<o:p></o:p></SPAN></P></BLOCKQUOTE></DIV></DIV></ZZZbody></ZZZhtml></BLOCKQUOTE></ZZZ![endif]--></ZZZ!--[if></ZZZ![endif]--></ZZZ!--[if></ZZZmeta></ZZZmeta><BR><BR>---<BR>Note: As a courtesy to other listserv subscribers, please post messages to the listserv in plain text format to avoid the garbling of messages received by digest recipients.<BR>---<BR>TO SUBSCRIBE, go to: http://lists.dep.state.fl.us/cgi-bin/mailman/listinfo/pharmwaste <BR>TO UNSUBSCRIBE, DO NOT REPLY TO THE LISTSERV. Please send an e-mail to pharmwaste-unsubscribe@lists.dep.state.fl.us -- the subject line and body of the e-mail should be blank.<BR>If you believe you may be subscribed with a different email address, please visit the subscriber listing at http://lists.dep.state.fl.us/cgi-bin/mailman/roster/pharmwaste <BR>FOR PROBLEMS: Contact List Administrator Laurie.Tenace@dep.state.fl.us <BR>SEND MAIL to the list server at: pharmwaste@lists.dep.state.fl.us<BR></FONT></BLOCKQUOTE></DIV></FONT></BLOCKQUOTE></BODY>