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<title>Re: [Pharmwaste] Sampling of med take back items</title>
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<p class=MsoNormal><span style='font-size:11.0pt;color:#1F497D'>A post from a
non member.<o:p></o:p></span></p>
<p class=MsoNormal><span style='font-size:11.0pt;color:#1F497D'>Laurie<o:p></o:p></span></p>
<p class=MsoNormal><span style='font-size:11.0pt;color:#1F497D'><o:p> </o:p></span></p>
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<p class=MsoNormal style='margin-left:.5in'><b><span style='font-size:10.0pt;
font-family:"Tahoma","sans-serif"'>From:</span></b><span style='font-size:10.0pt;
font-family:"Tahoma","sans-serif"'> Rod Larson [mailto:larsonr@husson.edu] <br>
<b>Sent:</b> Friday, January 22, 2010 10:01 AM<br>
<b>To:</b> Dennis Lucia; pharmwaste@lists.dep.state.fl.us; Stevan Gressitt;
Jeanie Jaramillo<br>
<b>Cc:</b> Allan Geisendorfer; Jennifer_Crittenden@umit.maine.edu; Len Kaye;
John Schloss<br>
<b>Subject:</b> Re: [Pharmwaste] Sampling of med take back items<o:p></o:p></span></p>
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<p class=MsoNormal style='margin-left:.5in'><o:p> </o:p></p>
<p class=MsoNormal style='mso-margin-top-alt:0in;margin-right:0in;margin-bottom:
12.0pt;margin-left:.5in'><span style='font-size:11.0pt;font-family:"Calibri","sans-serif"'>I
don’t believe anybody was mandating anything. A problem was posed and
suggestions made to help solve it. <br>
<br>
A great deal has been learned from tracking the types and quantity of drugs
being returned to this point. But we have just scratched the surface.
A drug take-program has many potential benefits to the environment and
society, in general. Four of these include:<br>
1. The reduction of environmental contamination.<br>
2. The reduction of recreational use of
prescribed and OTC medications.<br>
3. The reduction of inappropriate medication
sharing.<br>
4. An increase in knowledge regarding the how
medications are prescribed and used. <br>
<br>
The Maine project is fortunate to have the resources and expertise
available (e.g., law enforcement, government officials, pharmacists,
researchers, students) to be able to address all four of the issues listed
above. While I disagree that all the variables mentioned below are needed
in order to extract useful and meaningful information out of such projects, I
see no harm in collecting what we can (without violating privacy laws) for the
sake of improving how medications are used, stored, and safely disposed of.
On the contrary, I believe it would be irresponsible to throw away
information that could be used to benefit society, if one has the means and
resources to collect, analyze and report it. <br>
<br>
If someone doesn’t have the resources and/or expertise to do anything beyond
collecting and destroying the medications, this doesn’t mean that their
projects are not helpful. The projects obviously benefit society and the
environment tremendously in the first three ways listed above. <br>
<br>
Just my two cents.<br>
<br>
Rod<br>
</span><span style='font-size:11.0pt'><br>
**************************************** <br>
Rodney A. Larson, Ph.D., R.Ph. <br>
Founding Dean <br>
School of Pharmacy<br>
Husson University<br>
One College Circle <br>
Bangor, Maine 04401-2929 <br>
Phone: 207-941-7163 <br>
Email: <u><span style='color:blue'><a href="LarsonR@Husson.edu">LarsonR@Husson.edu</a><br>
</span></u>****************************************<br>
<br>
</span><span style='font-size:11.0pt;font-family:"Calibri","sans-serif"'><br>
On 1/22/10 8:51 AM, "Dennis Lucia" <<a href="djlucia@gw.dec.state.ny.us">djlucia@gw.dec.state.ny.us</a>> wrote:</span><o:p></o:p></p>
<p class=MsoNormal style='mso-margin-top-alt:0in;margin-right:0in;margin-bottom:
12.0pt;margin-left:.5in'><span style='font-size:11.0pt;font-family:"Calibri","sans-serif"'>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?<br>
<br>
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. <br>
<br>
Are you planning to collect additional information in violation of privacy
laws.<br>
Like:<br>
Diagnosis; length of treatment; <br>
Did the patient have health insurance, type of health insurance;<br>
1st prescription or multiple times that it has been prescribed<br>
Male/female, age.<br>
Why did patient stop taking drug? Reaction, type of reaction? Got better? Died?<br>
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.<br>
<br>
There are many variables that make the analysis complicated...<br>
<br>
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?<br>
<br>
Let's simplify the drug collections and work on the other issues in other
ways!!!<br>
<br>
<br>
<br>
<br>
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" <<a href="Stevan.Gressitt@maine.gov">Stevan.Gressitt@maine.gov</a>> 1/22/2010
7:37 AM >>><br>
</span><span style='font-size:10.0pt;font-family:"Arial","sans-serif";
color:navy'>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” <br>
<br>
</span><span style='font-size:11.0pt;font-family:"Calibri","sans-serif"'><br>
</span><span style='font-size:10.0pt;font-family:"Goudy Old Style","serif";
color:#993366'>Stevan Gressitt, M.D., Medical Director<br>
Office of Adult Mental Health Services<br>
Department of Health and Human Services<br>
Marquardt Building, 2nd Floor<br>
11 State House Station<br>
32 Blossom Lane<br>
Augusta, ME 04333-0011<br>
Ph: (207)287-4273<br>
Fax: (207)287-1022<br>
Cell Phone: (207) 441-0291<br>
E-Mail : <a href="stevan.gressitt@maine.gov">stevan.gressitt@maine.gov</a><br>
</span><u><span style='font-size:9.0pt;font-family:"Goudy Old Style","serif";
color:blue'><a href="http://www.maine.gov/dhhs/mh/">http://www.maine.gov/dhhs/mh/</a><br>
</span></u><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";
color:navy'><br>
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</span><o:p></o:p></p>
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<p style='mso-margin-top-alt:5.0pt;margin-right:0in;margin-bottom:12.0pt;
margin-left:.5in'><b><span style='font-size:10.0pt;font-family:"Tahoma","sans-serif"'>From:</span></b><span style='font-size:10.0pt;font-family:"Tahoma","sans-serif"'> <a href="pharmwaste-bounces@lists.dep.state.fl.us">pharmwaste-bounces@lists.dep.state.fl.us</a>
[<a href="mailto:pharmwaste-bounces@lists.dep.state.fl.us">mailto:pharmwaste-bounces@lists.dep.state.fl.us</a>]
<b>On Behalf Of </b>Jaramillo, Jeanie<br>
<b>Sent:</b> Wednesday, January 20, 2010 2:29 PM<br>
<b>To:</b> <a href="pharmwaste@lists.dep.state.fl.us">pharmwaste@lists.dep.state.fl.us</a><br>
<b>Subject:</b> [Pharmwaste] Sampling of med take back items<br>
</span><span style='font-size:11.0pt;font-family:"Calibri","sans-serif"'><br>
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 Xth 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.
<br>
<br>
</span><span style='font-family:"Monotype Corsiva"'>Jeanie Jaramillo, PharmD<br>
Managing Director, Texas Panhandle Poison Center<br>
Assistant Professor, Texas Tech UHSC School of Pharmacy<br>
1501 S. Coulter St.
<br>
Amarillo, TX 79106<br>
P: (806) 354-1611<br>
C: (806) 672-0833<br>
F: (806) 354-1667<br>
Cisco IP: 30412<br>
<br>
</span><o:p></o:p></p>
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