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<DIV>Before you attempt to mandate that you need drug statistics for all collections. What have you learned from the collections that have been held, where data on the types of drugs and quantity has been recorded?</DIV>
<DIV> </DIV>
<DIV>Doing an analysis of every 1/10 or 1/20 or 1/100 will not tell you much and requires that at each collection you have a trained pharmacist. By the way, you do know that having anyone other than law enforcement handle the unwanted controlled substances at a collection event is illegal. </DIV>
<DIV> </DIV>
<DIV>Are you planning to collect additional information in violation of privacy laws.</DIV>
<DIV>Like:</DIV>
<DIV>Diagnosis; length of treatment; </DIV>
<DIV>Did the patient have health insurance, type of health insurance;</DIV>
<DIV>1st prescription or multiple times that it has been prescribed</DIV>
<DIV>Male/female, age.</DIV>
<DIV>Why did patient stop taking drug? Reaction, type of reaction? Got better? Died?</DIV>
<DIV>You will also need info on the location where the collection takes place and demographic on the patient, regarding their life style, and medical history.</DIV>
<DIV> </DIV>
<DIV>There are many variables that make the analysis complicated...</DIV>
<DIV> </DIV>
<DIV>Are you trying to get unwanted drugs out of households and properly disposed of or are you trying to do a research study to analyze why patients don't take the medications prescribed to them and why drugs are being over prescribed?</DIV>
<DIV> </DIV>
<DIV>Let's simplify the drug collections and work on the other issues in other ways!!!</DIV>
<DIV> </DIV>
<DIV><BR> </DIV>
<DIV> </DIV>
<DIV>Dennis J. Lucia, P.E.<BR>Pollution Prevention Unit<BR>Division of Environmental Permits<BR>New York State Department of Environmental Conservation<BR>625 Broadway 4th Fl.- SW<BR>Albany, NY 12233-1750<BR>(518) 402-9469<BR>Fax (518) 402-9168<BR><BR><BR>>>> "Gressitt, Stevan" <Stevan.Gressitt@maine.gov> 1/22/2010 7:37 AM >>><BR></DIV>
<DIV class=Section1>
<P class=MsoNormal><FONT face=Arial color=navy size=2><SPAN style="FONT-SIZE: 10pt; COLOR: navy; FONT-FAMILY: Arial">Your internal consistency idea looks good. I am not the mathematician or statistician, but I suspect there is enough horsepower on this list to advise. It might also be interesting to see the difference in consistency at 1/10 1/20 1/100 depending on sixze as we all who are trying to sample will probably do best if we adopt a “best practice” <o:p></o:p></SPAN></FONT></P>
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<P class=MsoNormal style="MARGIN-LEFT: 0.5in"><FONT face="Goudy Old Style" color=#993366 size=2><SPAN style="FONT-SIZE: 10pt; COLOR: #993366; FONT-FAMILY: 'Goudy Old Style'">Stevan Gressitt, M.D., Medical Director</SPAN></FONT><FONT color=navy><SPAN style="COLOR: navy"><o:p></o:p></SPAN></FONT></P>
<P class=MsoNormal style="MARGIN-LEFT: 0.5in"><FONT face="Goudy Old Style" color=#993366 size=2><SPAN style="FONT-SIZE: 10pt; COLOR: #993366; FONT-FAMILY: 'Goudy Old Style'">Office of Adult Mental Health Services</SPAN></FONT><FONT color=navy><SPAN style="COLOR: navy"><o:p></o:p></SPAN></FONT></P>
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<P class=MsoNormal style="MARGIN-LEFT: 0.5in"><st1:place w:st="on"><st1:PlaceName w:st="on"><FONT face="Goudy Old Style" color=#993366 size=2><SPAN style="FONT-SIZE: 10pt; COLOR: #993366; FONT-FAMILY: 'Goudy Old Style'">Marquardt</SPAN></FONT></st1:PlaceName><FONT face="Goudy Old Style" color=#993366 size=2><SPAN style="FONT-SIZE: 10pt; COLOR: #993366; FONT-FAMILY: 'Goudy Old Style'"> <st1:PlaceType w:st="on">Building</st1:PlaceType></SPAN></FONT></st1:place><FONT face="Goudy Old Style" color=#993366 size=2><SPAN style="FONT-SIZE: 10pt; COLOR: #993366; FONT-FAMILY: 'Goudy Old Style'">, 2nd Floor</SPAN></FONT><FONT color=navy><SPAN style="COLOR: navy"><o:p></o:p></SPAN></FONT></P>
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<P class=MsoNormal><B><FONT face=Tahoma size=2><SPAN style="FONT-WEIGHT: bold; FONT-SIZE: 10pt; FONT-FAMILY: Tahoma">From:</SPAN></FONT></B><FONT face=Tahoma size=2><SPAN style="FONT-SIZE: 10pt; 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>Jaramillo, Jeanie<BR><B><SPAN style="FONT-WEIGHT: bold">Sent:</SPAN></B> Wednesday, January 20, 2010 2:29 PM<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] Sampling of med take back items</SPAN></FONT><FONT face="Times New Roman" size=3><SPAN style="FONT-SIZE: 12pt; FONT-FAMILY: 'Times New Roman'"><o:p></o:p></SPAN></FONT></P></DIV>
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<P class=MsoNormal><FONT face=Calibri size=2><SPAN style="FONT-SIZE: 11pt">I had no luck with having our epidemiologist help with a sampling protocol. He’s already being pulled in many different directions. I did want to mention that our next event (3/27) will likely be the last one in which we conduct a full inventory. We will be collating the items collected by participant (i.e. these 20 items all came from car #1), which will be a little more work this time around. I believe this will allow us to validate sampling techniques that we could use for future events. For instance, we could pull out the data from every X<SUP>th</SUP> participant, summarize it, and extrapolate it to the total number of participants and then compare that to the full inventory. I’m sure there’s some statistical method to do that. <o:p></o:p></SPAN></FONT></P>
<P class=MsoNormal><FONT face=Calibri size=2><SPAN style="FONT-SIZE: 11pt"><o:p> </o:p></SPAN></FONT></P>
<P class=MsoNormal><FONT face="Monotype Corsiva" size=3><SPAN style="FONT-SIZE: 12pt; FONT-FAMILY: 'Monotype Corsiva'">Jeanie Jaramillo, PharmD<o:p></o:p></SPAN></FONT></P>
<P class=MsoNormal><FONT face="Monotype Corsiva" size=3><SPAN style="FONT-SIZE: 12pt; FONT-FAMILY: 'Monotype Corsiva'">Managing Director, <st1:place w:st="on"><st1:PlaceName w:st="on">Texas</st1:PlaceName> <st1:PlaceName w:st="on">Panhandle</st1:PlaceName> <st1:PlaceName w:st="on">Poison</st1:PlaceName> <st1:PlaceType w:st="on">Center</st1:PlaceType></st1:place><o:p></o:p></SPAN></FONT></P>
<P class=MsoNormal><FONT face="Monotype Corsiva" size=3><SPAN style="FONT-SIZE: 12pt; FONT-FAMILY: 'Monotype Corsiva'">Assistant Professor, <st1:place w:st="on"><st1:PlaceName w:st="on">Texas</st1:PlaceName> <st1:PlaceName w:st="on">Tech</st1:PlaceName> <st1:PlaceName w:st="on">UHSC</st1:PlaceName> <st1:PlaceType w:st="on">School</st1:PlaceType></st1:place> of Pharmacy<o:p></o:p></SPAN></FONT></P>
<P class=MsoNormal><st1:Street w:st="on"><st1:address w:st="on"><FONT face="Monotype Corsiva" size=3><SPAN style="FONT-SIZE: 12pt; FONT-FAMILY: 'Monotype Corsiva'">1501 S. Coulter St</SPAN></FONT></st1:address></st1:Street><FONT face="Monotype Corsiva" size=3><SPAN style="FONT-SIZE: 12pt; FONT-FAMILY: 'Monotype Corsiva'">. <o:p></o:p></SPAN></FONT></P>
<P class=MsoNormal><st1:place w:st="on"><st1:City w:st="on"><FONT face="Monotype Corsiva" size=3><SPAN style="FONT-SIZE: 12pt; FONT-FAMILY: 'Monotype Corsiva'">Amarillo</SPAN></FONT></st1:City><FONT face="Monotype Corsiva" size=3><SPAN style="FONT-SIZE: 12pt; FONT-FAMILY: 'Monotype Corsiva'">, <st1:State w:st="on">TX</st1:State> <st1:PostalCode w:st="on">79106</st1:PostalCode></SPAN></FONT></st1:place><FONT face="Monotype Corsiva" size=3><SPAN style="FONT-SIZE: 12pt; FONT-FAMILY: 'Monotype Corsiva'"><o:p></o:p></SPAN></FONT></P>
<P class=MsoNormal><FONT face="Monotype Corsiva" size=3><SPAN style="FONT-SIZE: 12pt; FONT-FAMILY: 'Monotype Corsiva'">P: (806) 354-1611<o:p></o:p></SPAN></FONT></P>
<P class=MsoNormal><FONT face="Monotype Corsiva" size=3><SPAN style="FONT-SIZE: 12pt; FONT-FAMILY: 'Monotype Corsiva'">C: (806) 672-0833<o:p></o:p></SPAN></FONT></P>
<P class=MsoNormal><FONT face="Monotype Corsiva" size=3><SPAN style="FONT-SIZE: 12pt; FONT-FAMILY: 'Monotype Corsiva'">F: (806) 354-1667<o:p></o:p></SPAN></FONT></P>
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