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<p class=MsoNormal style='mso-margin-top-alt:auto;margin-bottom:7.5pt;
punctuation-wrap:hanging;text-autospace:ideograph-numeric ideograph-other'><b><font
size=4 color=black face=Verdana><span style='font-size:13.5pt;font-family:Verdana;
color:black;font-weight:bold'>Health facilities, NY settle over drug-flushing<o:p></o:p></span></font></b></p>

<p class=MsoNormal style='punctuation-wrap:hanging;text-autospace:ideograph-numeric ideograph-other'><i><font
size=1 color=black face=Verdana><span style='font-size:9.0pt;font-family:Verdana;
color:black;font-style:italic'>Posted: </span></font></i><font size=1
color=black face=Verdana><span style='font-size:9.0pt;font-family:Verdana;
color:black'><script  type="text/javascript">
                                wnRenderDate('Tuesday, January 12, 2010 1:11 PM EST', '', true);
</script></span></font><i><font size=1 color=black face=Verdana><span
style='font-size:9.0pt;font-family:Verdana;color:black;font-style:italic'>Jan
12, 2010 12:11 PM CST Tuesday, January 12, 2010 1:11 PM ESTUpdated: </span></font></i><font
size=1 color=black face=Verdana><span style='font-size:9.0pt;font-family:Verdana;
color:black'><script  type="text/javascript">
                                                wnRenderDate('Wednesday, January 13, 2010 5:37 AM EST', '', true);
</script></span></font><i><font size=1 color=black face=Verdana><span
style='font-size:9.0pt;font-family:Verdana;color:black;font-style:italic'>Jan
13, 2010 4:37 AM CST Wednesday, January 13, 2010 5:37 AM EST</span></font></i><font
size=1 color=black face=Verdana><span style='font-size:9.0pt;font-family:Verdana;
color:black'><o:p></o:p></span></font></p>

<p class=MsoNormal style='punctuation-wrap:hanging;text-autospace:ideograph-numeric ideograph-other'><font
size=2 color=black face=Verdana><span style='font-size:10.0pt;font-family:Verdana;
color:black'>By MARCUS FRANKLIN<br>
Associated Press Writer <o:p></o:p></span></font></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-numeric ideograph-other'><font
size=2 color=black face=Verdana><span style='font-size:10.0pt;font-family:Verdana;
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></font></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-numeric ideograph-other'><font
size=2 color=black face=Verdana><span style='font-size:10.0pt;font-family:Verdana;
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></font></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-numeric ideograph-other'><font
size=2 color=black face=Verdana><span style='font-size:10.0pt;font-family:Verdana;
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></font></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-numeric ideograph-other'><font
size=2 color=black face=Verdana><span style='font-size:10.0pt;font-family:Verdana;
color:black'>The hospitals and nursing homes are located within the watershed
in Putnam and <st1:State w:st="on">Delaware</st1:State> counties north of <st1:City
w:st="on"><st1:place w:st="on">New York City</st1:place></st1:City>.<o:p></o:p></span></font></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-numeric ideograph-other'><font
size=2 color=black face=Verdana><span style='font-size:10.0pt;font-family:Verdana;
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></font></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-numeric ideograph-other'><font
size=2 color=black face=Verdana><span style='font-size:10.0pt;font-family:Verdana;
color:black'>Instead, the facilities will give the drugs to waste management
facilities, he said.<o:p></o:p></span></font></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-numeric ideograph-other'><font
size=2 color=black face=Verdana><span style='font-size:10.0pt;font-family:Verdana;
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></font></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-numeric ideograph-other'><font
size=2 color=black face=Verdana><span style='font-size:10.0pt;font-family:Verdana;
color:black'>Water utilities, replying to an AP questionnaire, acknowledged the
presence of dozens of drugs in their supplies. State tests of <st1:State w:st="on"><st1:place
 w:st="on">New York</st1:place></st1:State>'s watersheds in 2008 that also
found trace amounts of drugs also led to Cuomo's investigation, Kennedy said.<o:p></o:p></span></font></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-numeric ideograph-other'><font
size=2 color=black face=Verdana><span style='font-size:10.0pt;font-family:Verdana;
color:black'>Cuomo called the practice &quot;an emerging threat&quot; to <st1:State
w:st="on"><st1:place w:st="on">New York</st1:place></st1:State>'s drinking
water supply and said the federal Environmental Protection Agency has
identified pharmaceuticals as &quot;contaminants of emerging concern.&quot;<o:p></o:p></span></font></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-numeric ideograph-other'><font
size=2 color=black face=Verdana><span style='font-size:10.0pt;font-family:Verdana;
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></font></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-numeric ideograph-other'><font
size=2 color=black face=Verdana><span style='font-size:10.0pt;font-family:Verdana;
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></font></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-numeric ideograph-other'><font
size=2 color=black face=Verdana><span style='font-size:10.0pt;font-family:Verdana;
color:black'>&quot;The nine million people who get their water from the <st1:City
w:st="on"><st1:place w:st="on">New York City</st1:place></st1:City> watershed
enjoy some of the cleanest, safest and best water in the world,&quot; said
Cuomo. &quot;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.&quot;<o:p></o:p></span></font></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-numeric ideograph-other'><font
size=2 color=black face=Verdana><span style='font-size:10.0pt;font-family:Verdana;
color:black'>Parties to the settlement were: Putnam Nursing and <st1:PlaceName
w:st="on">Rehabilitation</st1:PlaceName> <st1:PlaceType w:st="on">Center</st1:PlaceType>
in Holmes in <st1:PlaceName w:st="on">Putnam</st1:PlaceName> <st1:PlaceType
w:st="on">County</st1:PlaceType>; O'Connor Hospital and <st1:PlaceName w:st="on">Countryside</st1:PlaceName>
<st1:PlaceName w:st="on">Care</st1:PlaceName> <st1:PlaceType w:st="on">Center</st1:PlaceType>,
both in <st1:City w:st="on">Delhi</st1:City> in <st1:PlaceName w:st="on">Delaware</st1:PlaceName>
<st1:PlaceType w:st="on">County</st1:PlaceType>; and <st1:PlaceName w:st="on">Margaretville</st1:PlaceName>
<st1:PlaceName w:st="on">Memorial</st1:PlaceName> <st1:PlaceType w:st="on">Hospital</st1:PlaceType>
and <st1:PlaceName w:st="on">Mountainside</st1:PlaceName> <st1:PlaceName w:st="on">Residential</st1:PlaceName>
<st1:PlaceName w:st="on">Care</st1:PlaceName> <st1:PlaceType w:st="on">Center</st1:PlaceType>
in Margaretville, also in <st1:place w:st="on"><st1:PlaceName w:st="on">Delaware</st1:PlaceName>
 <st1:PlaceType w:st="on">County</st1:PlaceType></st1:place>.<o:p></o:p></span></font></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-numeric ideograph-other'><font
size=2 color=black face=Verdana><span style='font-size:10.0pt;font-family:Verdana;
color:black'>Telephone messages seeking comment from the five facilities
weren't immediately returned Tuesday.<o:p></o:p></span></font></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-numeric ideograph-other'><font
size=2 color=black face=Verdana><span style='font-size:10.0pt;font-family:Verdana;
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></font></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-numeric ideograph-other'><font
size=2 color=black face=Verdana><span style='font-size:10.0pt;font-family:Verdana;
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></font></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-numeric ideograph-other'><font
size=2 color=black face=Verdana><span style='font-size:10.0pt;font-family:Verdana;
color:black'>Cuomo's office also is investigating 10 other health care
facilities on the watershed, officials said.<o:p></o:p></span></font></p>

<p class=MsoNormal style='margin-top:9.0pt;punctuation-wrap:hanging;text-autospace:
ideograph-numeric ideograph-other'><i><font size=2 color=black face=Verdana><span
style='font-size:10.0pt;font-family:Verdana;color:black;font-style:italic'>Copyright
2010 The Associated Press. All rights reserved. This material may not be
published, broadcast, rewritten or redistributed.<o:p></o:p></span></font></i></p>

<p class=MsoNormal><font size=2 face=Arial><span style='font-size:11.0pt'><o:p>&nbsp;</o:p></span></font></p>

<p class=MsoNormal><font size=2 face=Arial><span style='font-size:11.0pt'><o:p>&nbsp;</o:p></span></font></p>

<p class=MsoNormal><strong><b><font size=2 face="Arial Narrow"><span
style='font-size:10.0pt;font-family:"Arial Narrow"'>Firouzan 'Fred' Massoomi,
Pharm.D., FASHP</span></font></b></strong><o:p></o:p></p>

<p class=MsoNormal><st1:place w:st="on"><st1:PlaceName w:st="on"><font size=2
  face="Arial Narrow"><span style='font-size:10.0pt;font-family:"Arial Narrow"'>Nebraska</span></font></st1:PlaceName><font
 face="Arial Narrow"><span style='font-family:"Arial Narrow"'> <st1:PlaceName
 w:st="on">Methodist</st1:PlaceName> <st1:PlaceType w:st="on">Hospital</st1:PlaceType></span></font></st1:place><o:p></o:p></p>

<p class=MsoNormal><font size=2 face="Arial Narrow"><span style='font-size:
10.0pt;font-family:"Arial Narrow"'>Pharmacy Operations Coordinator</span></font><o:p></o:p></p>

<p class=MsoNormal><font size=2 face="Arial Narrow"><span style='font-size:
10.0pt;font-family:"Arial Narrow"'>Department of Pharmacy Services</span></font><o:p></o:p></p>

<p class=MsoNormal><st1:Street w:st="on"><st1:address tabIndex="0"
 style="BACKGROUND-POSITION: left bottom; BACKGROUND-IMAGE: url(res://ietag.dll/#34/#1001); BACKGROUND-REPEAT: repeat-x"
 w:st="on"><font size=2 face="Arial Narrow"><span style='font-size:10.0pt;
  font-family:"Arial Narrow"'>8303 Dodge St</span></font></st1:address></st1:Street><font
face="Arial Narrow"><span style='font-family:"Arial Narrow"'>.</span></font><o:p></o:p></p>

<p class=MsoNormal><font size=2 face="Arial Narrow"><span lang=FR
style='font-size:10.0pt;font-family:"Arial Narrow"'>Omaha, NE&nbsp; 68114</span></font><span
lang=FR><o:p></o:p></span></p>

<p class=MsoNormal><font size=2 face="Arial Narrow"><span style='font-size:
10.0pt;font-family:"Arial Narrow"'><a href="mailto:fred.massoomi@nmhs.org"><span
lang=FR>fred.massoomi@nmhs.org</span></a></span></font><span lang=FR><o:p></o:p></span></p>

<p class=MsoNormal><font size=2 face="Arial Narrow"><span style='font-size:
10.0pt;font-family:"Arial Narrow"'>(402) 354-4340
office&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; (402)
354-3139 fax</span></font><o:p></o:p></p>

<p class=MsoNormal><strong><b><font size=2 color="#ff8000" face="Arial Narrow"><span
style='font-size:10.0pt;font-family:"Arial Narrow";color:#FF8000'>A proud
supporter of the Multiple Sclerosis Society<o:p></o:p></span></font></b></strong></p>

<p class=MsoNormal><font size=5 color=green face=Webdings><span lang=EN-GB
style='font-size:18.0pt;font-family:Webdings;color:green'>P</span></font><font
color=green><span lang=EN-GB style='color:green'>&nbsp;</span></font><font
color=green face="Arial Narrow"><span lang=EN-GB style='font-family:"Arial Narrow";
color:green'>Think Green &amp; </span></font><font color=green
face="Arial Narrow"><span lang=EN-GB style='font-family:"Arial Narrow";
color:green'>Think before <strong><b><font face="Arial Narrow"><span
style='font-family:"Arial Narrow"'>YOU</span></font></b></strong> print.</span></font><font
color=green face="Arial Narrow"><span lang=EN-GB style='font-family:"Arial Narrow";
color:green'> </span></font><font size=3 color=green face="Times New Roman"><span
style='font-size:12.0pt;font-family:"Times New Roman";color:green'><o:p></o:p></span></font></p>

<p class=MsoNormal><font size=2 face=Arial><span style='font-size:10.0pt'><o:p>&nbsp;</o:p></span></font></p>

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