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<p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";
color:#1F497D'>But what are we going to do about the even bigger danger of
flushing/ draining the urine, feces and millions of cleaning and personal care
products??<o:p></o:p></span></p>
<p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";
color:#1F497D'><o:p> </o:p></span></p>
<p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";
color:#1F497D'>The unused “Meds” are barely the tip of the iceberg.<o:p></o:p></span></p>
<p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";
color:#1F497D'><o:p> </o:p></span></p>
<p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";
color:#1F497D'>Al White<o:p></o:p></span></p>
<p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";
color:#1F497D'><o:p> </o:p></span></p>
<div>
<div style='border:none;border-top:solid #B5C4DF 1.0pt;padding:3.0pt 0in 0in 0in'>
<p class=MsoNormal style='punctuation-wrap:hanging;text-autospace:ideograph-numeric ideograph-other'><b><span
style='font-family:"Tahoma","sans-serif"'>From:</span></b><span
style='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>Massoomi,
Fred<br>
<b>Sent:</b> Wednesday, January 13, 2010 2:18 PM<br>
<b>To:</b> Hyun, Karen; Mannina, George J.; pharmwaste@lists.dep.state.fl.us<br>
<b>Subject:</b> [Pharmwaste] A move in the right direction to keep RX out of
the H2O<o:p></o:p></span></p>
</div>
</div>
<p class=MsoNormal><o:p> </o:p></p>
<p class=MsoNormal style='mso-margin-top-alt:auto;margin-bottom:7.5pt;
punctuation-wrap:hanging;text-autospace:ideograph-other'><b><span
style='font-size:13.5pt;font-family:"Verdana","sans-serif";color:black'>Health
facilities, NY settle over drug-flushing<o:p></o:p></span></b></p>
<p class=MsoNormal style='punctuation-wrap:hanging;text-autospace:ideograph-other'><i><span
style='font-size:9.0pt;font-family:"Verdana","sans-serif";color:black'>Posted:
Jan 12, 2010 12:11 PM CST Tuesday, January 12, 2010 1:11 PM ESTUpdated: Jan 13,
2010 4:37 AM CST Wednesday, January 13, 2010 5:37 AM EST</span></i><span
style='font-size:9.0pt;font-family:"Verdana","sans-serif";color:black'><o:p></o:p></span></p>
<p class=MsoNormal style='punctuation-wrap:hanging;text-autospace:ideograph-other'><span
style='font-family:"Verdana","sans-serif";color:black'>By MARCUS FRANKLIN<br>
Associated Press Writer <o:p></o:p></span></p>
<p class=MsoNormal style='mso-margin-top-alt:9.0pt;margin-right:0in;margin-bottom:
9.0pt;margin-left:0in;punctuation-wrap:hanging;text-autospace:ideograph-other'><span
style='font-family:"Verdana","sans-serif";color:black'>NEW YORK (AP) - New York
Attorney General Andrew Cuomo announced a settlement Tuesday with five health
care facilities that flushed pharmaceutical waste into the New York City
watersheds.<o:p></o:p></span></p>
<p class=MsoNormal style='mso-margin-top-alt:9.0pt;margin-right:0in;margin-bottom:
9.0pt;margin-left:0in;punctuation-wrap:hanging;text-autospace:ideograph-other'><span
style='font-family:"Verdana","sans-serif";color:black'>Cuomo reached agreements
with the two hospitals and three nursing homes that disposed of painkillers,
antibiotics, antidepressants, hormones and other pharmaceuticals through
toilets and sinks and into the watersheds, his office said. The flushes
potentially put about 9 million people's drinking water at risk, Cuomo said.<o:p></o:p></span></p>
<p class=MsoNormal style='mso-margin-top-alt:9.0pt;margin-right:0in;margin-bottom:
9.0pt;margin-left:0in;punctuation-wrap:hanging;text-autospace:ideograph-other'><span
style='font-family:"Verdana","sans-serif";color:black'>The three watersheds -
the Croton, Catskill and Delaware - cover nearly 2000 square miles and drain
into reservoirs and lakes providing drinking water to New York City's roughly 8
million residents and another 1 million in several northern counties - nearly
half the state's 19.4 million residents.<o:p></o:p></span></p>
<p class=MsoNormal style='mso-margin-top-alt:9.0pt;margin-right:0in;margin-bottom:
9.0pt;margin-left:0in;punctuation-wrap:hanging;text-autospace:ideograph-other'><span
style='font-family:"Verdana","sans-serif";color:black'>The hospitals and
nursing homes are located within the watershed in Putnam and Delaware counties
north of New York City.<o:p></o:p></span></p>
<p class=MsoNormal style='mso-margin-top-alt:9.0pt;margin-right:0in;margin-bottom:
9.0pt;margin-left:0in;punctuation-wrap:hanging;text-autospace:ideograph-other'><span
style='font-family:"Verdana","sans-serif";color:black'>Although such facilities
are allowed to flush many - but not all - drugs through toilets and sinks, the
nursing homes and hospitals nonetheless agreed to stop disposing of all drugs
in that manner to protect the watersheds, Cuomo said.<o:p></o:p></span></p>
<p class=MsoNormal style='mso-margin-top-alt:9.0pt;margin-right:0in;margin-bottom:
9.0pt;margin-left:0in;punctuation-wrap:hanging;text-autospace:ideograph-other'><span
style='font-family:"Verdana","sans-serif";color:black'>Instead, the facilities
will give the drugs to waste management facilities, he said.<o:p></o:p></span></p>
<p class=MsoNormal style='mso-margin-top-alt:9.0pt;margin-right:0in;margin-bottom:
9.0pt;margin-left:0in;punctuation-wrap:hanging;text-autospace:ideograph-other'><span
style='font-family:"Verdana","sans-serif";color:black'>The attorney general's
investigation of the facilities on the watersheds was prompted in part by a
series of stories by The Associated Press in 2008 that revealed the drinking
water of at least 51 million Americans contains minute concentrations of a multitude
of drugs, said Katherine Kennedy, Cuomo's special deputy attorney general for
environmental protection.<o:p></o:p></span></p>
<p class=MsoNormal style='mso-margin-top-alt:9.0pt;margin-right:0in;margin-bottom:
9.0pt;margin-left:0in;punctuation-wrap:hanging;text-autospace:ideograph-other'><span
style='font-family:"Verdana","sans-serif";color:black'>Water utilities,
replying to an AP questionnaire, acknowledged the presence of dozens of drugs
in their supplies. State tests of New York's watersheds in 2008 that also found
trace amounts of drugs also led to Cuomo's investigation, Kennedy said.<o:p></o:p></span></p>
<p class=MsoNormal style='mso-margin-top-alt:9.0pt;margin-right:0in;margin-bottom:
9.0pt;margin-left:0in;punctuation-wrap:hanging;text-autospace:ideograph-other'><span
style='font-family:"Verdana","sans-serif";color:black'>Cuomo called the
practice "an emerging threat" to New York's drinking water supply and
said the federal Environmental Protection Agency has identified pharmaceuticals
as "contaminants of emerging concern."<o:p></o:p></span></p>
<p class=MsoNormal style='mso-margin-top-alt:9.0pt;margin-right:0in;margin-bottom:
9.0pt;margin-left:0in;punctuation-wrap:hanging;text-autospace:ideograph-other'><span
style='font-family:"Verdana","sans-serif";color:black'>The attorney general
said waste pharmaceuticals flushed down toilets or sinks end up at sewage
treatment plants or septic systems that aren't designed to treat such wastes
and don't remove some pharmaceuticals.<o:p></o:p></span></p>
<p class=MsoNormal style='mso-margin-top-alt:9.0pt;margin-right:0in;margin-bottom:
9.0pt;margin-left:0in;punctuation-wrap:hanging;text-autospace:ideograph-other'><span
style='font-family:"Verdana","sans-serif";color:black'>Also, Cuomo said,
drinking water treatment plants, including those that chlorinate drinking
water, don't consistently remove pharmaceuticals.<o:p></o:p></span></p>
<p class=MsoNormal style='mso-margin-top-alt:9.0pt;margin-right:0in;margin-bottom:
9.0pt;margin-left:0in;punctuation-wrap:hanging;text-autospace:ideograph-other'><span
style='font-family:"Verdana","sans-serif";color:black'>"The nine million
people who get their water from the New York City watershed enjoy some of the
cleanest, safest and best water in the world," said Cuomo. "We need
to make sure it stays that way. These...settlements provide a new model to
implement immediate and sensible precautions to keep waste drugs out of the
drinking water supply."<o:p></o:p></span></p>
<p class=MsoNormal style='mso-margin-top-alt:9.0pt;margin-right:0in;margin-bottom:
9.0pt;margin-left:0in;punctuation-wrap:hanging;text-autospace:ideograph-other'><span
style='font-family:"Verdana","sans-serif";color:black'>Parties to the
settlement were: Putnam Nursing and Rehabilitation Center in Holmes in Putnam
County; O'Connor Hospital and Countryside Care Center, both in Delhi in
Delaware County; and Margaretville Memorial Hospital and Mountainside
Residential Care Center in Margaretville, also in Delaware County.<o:p></o:p></span></p>
<p class=MsoNormal style='mso-margin-top-alt:9.0pt;margin-right:0in;margin-bottom:
9.0pt;margin-left:0in;punctuation-wrap:hanging;text-autospace:ideograph-other'><span
style='font-family:"Verdana","sans-serif";color:black'>Telephone messages
seeking comment from the five facilities weren't immediately returned Tuesday.<o:p></o:p></span></p>
<p class=MsoNormal style='mso-margin-top-alt:9.0pt;margin-right:0in;margin-bottom:
9.0pt;margin-left:0in;punctuation-wrap:hanging;text-autospace:ideograph-other'><span
style='font-family:"Verdana","sans-serif";color:black'>Cuomo's investigation
initially found a range of state and federal violations at the health care
facilities, including failure to properly label, store, track and dispose of
pharmaceuticals, Cuomo's office said.<o:p></o:p></span></p>
<p class=MsoNormal style='mso-margin-top-alt:9.0pt;margin-right:0in;margin-bottom:
9.0pt;margin-left:0in;punctuation-wrap:hanging;text-autospace:ideograph-other'><span
style='font-family:"Verdana","sans-serif";color:black'>Each facility was fined
between $3,500 and $12,000 for various violations, including flushing drugs,
said Richard Bamberger, a spokesman for Cuomo.<o:p></o:p></span></p>
<p class=MsoNormal style='mso-margin-top-alt:9.0pt;margin-right:0in;margin-bottom:
9.0pt;margin-left:0in;punctuation-wrap:hanging;text-autospace:ideograph-other'><span
style='font-family:"Verdana","sans-serif";color:black'>Cuomo's office also is
investigating 10 other health care facilities on the watershed, officials said.<o:p></o:p></span></p>
<p class=MsoNormal style='margin-top:9.0pt;punctuation-wrap:hanging;text-autospace:
ideograph-other'><i><span style='font-family:"Verdana","sans-serif";color:black'>Copyright
2010 The Associated Press. All rights reserved. This material may not be
published, broadcast, rewritten or redistributed.<o:p></o:p></span></i></p>
<p class=MsoNormal><span style='font-size:11.0pt'><o:p> </o:p></span></p>
<p class=MsoNormal><span style='font-size:11.0pt'><o:p> </o:p></span></p>
<p class=MsoNormal><strong><span style='font-family:"Arial Narrow","sans-serif"'>Firouzan
'Fred' Massoomi, Pharm.D., FASHP</span></strong><o:p></o:p></p>
<p class=MsoNormal><span style='font-family:"Arial Narrow","sans-serif"'>Nebraska
Methodist Hospital</span><o:p></o:p></p>
<p class=MsoNormal><span style='font-family:"Arial Narrow","sans-serif"'>Pharmacy
Operations Coordinator</span><o:p></o:p></p>
<p class=MsoNormal><span style='font-family:"Arial Narrow","sans-serif"'>Department
of Pharmacy Services</span><o:p></o:p></p>
<p class=MsoNormal><span style='font-family:"Arial Narrow","sans-serif"'>8303
Dodge St.</span><o:p></o:p></p>
<p class=MsoNormal><span lang=FR style='font-family:"Arial Narrow","sans-serif"'>Omaha,
NE 68114</span><span lang=FR><o:p></o:p></span></p>
<p class=MsoNormal><span style='font-family:"Arial Narrow","sans-serif"'><a
href="mailto:fred.massoomi@nmhs.org"><span lang=FR>fred.massoomi@nmhs.org</span></a></span><span
lang=FR><o:p></o:p></span></p>
<p class=MsoNormal><span style='font-family:"Arial Narrow","sans-serif"'>(402)
354-4340
office (402)
354-3139 fax</span><o:p></o:p></p>
<p class=MsoNormal><strong><span style='font-family:"Arial Narrow","sans-serif";
color:#FF8000'>A proud supporter of the Multiple Sclerosis Society<o:p></o:p></span></strong></p>
<p class=MsoNormal><span lang=EN-GB style='font-size:18.0pt;font-family:Webdings;
color:green'>P</span><span lang=EN-GB style='color:green'> </span><span
lang=EN-GB style='font-family:"Arial Narrow","sans-serif";color:green'>Think
Green & Think before <strong><span style='font-family:"Arial Narrow","sans-serif"'>YOU</span></strong>
print. </span><span style='font-size:12.0pt;font-family:"Times New Roman","serif";
color:green'><o:p></o:p></span></p>
<p class=MsoNormal><o:p> </o:p></p>
<p class=MsoNormal style='punctuation-wrap:hanging;text-autospace:ideograph-numeric ideograph-other'><span
style='font-size:12.0pt;font-family:"Times New Roman","serif"'><br>
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The message was checked by ESET NOD32 Antivirus.<br>
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<p class=MsoNormal style='punctuation-wrap:hanging;text-autospace:ideograph-numeric ideograph-other'><span
style='font-size:12.0pt;font-family:"Times New Roman","serif"'><br>
This message and any included attachments are from Nebraska Methodist Health
System and its affiliates and are intended only for the addressee. The message
may contain privileged, confidential and/or proprietary information intended
only for the person(s) named. Unauthorized forwarding, printing, copying,
distribution, or use of such information is strictly prohibited and may be
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notify the sender of the delivery error by e-mail or you may call Nebraska
Methodist Health System and its affiliates in Omaha, Nebraska, U.S.A at
(402)354-2280. <o:p></o:p></span></p>
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