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Hi Howard,<br>
Our society does not have the money, nor is likely willing to spend the
money, or have the technology to render all the pharmaceuticals and
other chemicals benign. Many wastewater treatment plants barely can
address domestic sewage without the added costs of tertiary treatment,
e.g. carbon filtration, air stripping, ozone, etc. which add millions
to smaller facilities and billions to larger facilities and
nationwide. <br>
<br>
Minimization will come through reduced use, e.g. advocating for
non-drug therapies, improving overall health with diet and
exercise--basic public health tenets, and improved drugs that don't
require what is essentially an overdose for efficacy. Drugs that
target the organ/s/cells of choice are being worked on, as are some
that have less environmental toxicity. Some of those attributes have
already been identified by the city of Stockholm. Physicians can
prescribe drugs that have less persistence in the environment, but
similar biological action. See,
<a class="moz-txt-link-freetext" href="http://www.lif.se/cs/Publik%20webb/Sidinnehall/Publik_Dokument/Verksamheter/Milj%C3%B6/Swedish%20environmental%20classification%20of%20pharmaceuticals.pdf">http://www.lif.se/cs/Publik%20webb/Sidinnehall/Publik_Dokument/Verksamheter/Milj%C3%B6/Swedish%20environmental%20classification%20of%20pharmaceuticals.pdf</a><br>
<br>
Non-drug therapies include things like physical therapy, heat and cold
treatment, massage, Neti pots, etc. For example, this week I fell flat
on my back, twice due to ice (due to climate change, we get rain in MN
a lot nowadays) on the neighbor's driveway. This is concerning because
I had back surgery 6 years ago. To treat the subsequent pain and
stiffness, I applied a cold pack for a day and then got back to normal
activity. I'm still a bit stiff, but if I keep moving I'll be fine.
The body has remarkable capacity to heal on its own given time and
support, which doesn't necessarily have to include drugs. <br>
<br>
<br>
<pre class="moz-signature" cols="65">Catherine Zimmer
Health Care Specialist
Minnesota Technical Assistance Program
University of Minnesota
612.624.4635, 800.247.0015
<a class="moz-txt-link-freetext" href="http://www.mntap.umn.edu">http://www.mntap.umn.edu</a>, <a class="moz-txt-link-freetext" href="http://www.mnexchange.org">http://www.mnexchange.org</a>
Celebrating 25 years of helping Minnesota businesses maximize resource efficiency, increase energy efficiency, reduce costs, and prevent pollution</pre>
<br>
<br>
Howard Anderson wrote:
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<div class="Section1">
<p class="MsoNormal"><font color="navy" face="Arial" size="2"><span
style="font-size: 10pt; font-family: Arial; color: navy;">Dear
Pharmwaste List:<o:p></o:p></span></font></p>
<p class="MsoNormal"><font color="navy" face="Arial" size="2"><span
style="font-size: 10pt; font-family: Arial; color: navy;"><o:p> </o:p></span></font></p>
<p class="MsoNormal"><font color="navy" face="Arial" size="2"><span
style="font-size: 10pt; font-family: Arial; color: navy;">Remember
that over 99% of these
drugs come from excretions by those of us who take the drugs and
excrete
metabolites, or in many cases largely unchanged drug. We should
concentrate our
efforts on teaching our sewage systems to render the chemicals benign.
Sometimes we spend a lot of time and money trying to solve 1 percent of
the
problem, when we should be better served solving the 99 percent. Then
the extra
1 percent would come along, as a matter of course.<o:p></o:p></span></font></p>
<p class="MsoNormal"><font color="navy" face="Arial" size="2"><span
style="font-size: 10pt; font-family: Arial; color: navy;"><o:p> </o:p></span></font></p>
<p class="MsoNormal"><font color="navy" face="Arial" size="2"><span
style="font-size: 10pt; font-family: Arial; color: navy;">Sincerely,<o:p></o:p></span></font></p>
<p class="MsoNormal"><font color="navy" face="Arial" size="2"><span
style="font-size: 10pt; font-family: Arial; color: navy;"><o:p> </o:p></span></font></p>
<p class="MsoNormal"><font color="navy" face="Arial" size="2"><span
style="font-size: 10pt; font-family: Arial; color: navy;">Howard<o:p></o:p></span></font></p>
<p class="MsoNormal"><font color="navy" face="Arial" size="2"><span
style="font-size: 10pt; font-family: Arial; color: navy;"><o:p> </o:p></span></font></p>
<div>
<p class="MsoNormal"><font color="navy" face="Arial" size="2"><span
style="font-size: 10pt; font-family: Arial; color: navy;">Howard C.
Anderson, Jr.,R.Ph.</span></font><font color="navy"><span
style="color: navy;"><o:p></o:p></span></font></p>
<p class="MsoNormal"><font color="navy" face="Arial" size="2"><span
style="font-size: 10pt; font-family: Arial; color: navy;">Executive
Director</span></font><font color="navy"><span style="color: navy;"><o:p></o:p></span></font></p>
<p class="MsoNormal"><st1:place w:st="on"><font color="navy"
face="Arial" size="2"><span
style="font-size: 10pt; font-family: Arial; color: navy;">North Dakota</span></font></st1:place><font
color="navy" face="Arial" size="2"><span
style="font-size: 10pt; font-family: Arial; color: navy;"> Board of
Pharmacy</span></font><font color="navy"><span style="color: navy;"><o:p></o:p></span></font></p>
<p class="MsoNormal"><st1:Street w:st="on"><st1:address w:st="on"><font
color="navy" face="Arial" size="2"><span
style="font-size: 10pt; font-family: Arial; color: navy;">1906 E.
Broadway Ave.</span></font></st1:address></st1:Street><font color="navy"><span
style="color: navy;"><o:p></o:p></span></font></p>
<p class="MsoNormal"><st1:address w:st="on"><st1:Street w:st="on"><font
color="navy" face="Arial" size="2"><span
style="font-size: 10pt; font-family: Arial; color: navy;">P.O. Box</span></font></st1:Street><font
color="navy" face="Arial" size="2"><span
style="font-size: 10pt; font-family: Arial; color: navy;"> 1354</span></font></st1:address><font
color="navy"><span style="color: navy;"><o:p></o:p></span></font></p>
<p class="MsoNormal"><st1:place w:st="on"><st1:City w:st="on"><font
color="navy" face="Arial" size="2"><span
style="font-size: 10pt; font-family: Arial; color: navy;">Bismarck</span></font></st1:City><font
color="navy" face="Arial" size="2"><span
style="font-size: 10pt; font-family: Arial; color: navy;">, <st1:State
w:st="on">ND</st1:State> <st1:PostalCode w:st="on">58502-1354</st1:PostalCode></span></font></st1:place><font
color="navy"><span style="color: navy;"><o:p></o:p></span></font></p>
<p class="MsoNormal"><font color="navy" face="Arial" size="2"><span
style="font-size: 10pt; font-family: Arial; color: navy;">Phone (701)
328-9535</span></font><font color="navy"><span style="color: navy;"><o:p></o:p></span></font></p>
<p class="MsoNormal"><font color="navy" face="Arial" size="2"><span
style="font-size: 10pt; font-family: Arial; color: navy;">Fax (701)
328-9536</span></font><font color="navy"><span style="color: navy;"><o:p></o:p></span></font></p>
<p class="MsoNormal"><font color="navy" face="Arial" size="2"><span
style="font-size: 10pt; font-family: Arial; color: navy;">Web site
<a class="moz-txt-link-abbreviated" href="http://www.nodakpharmacy.com">www.nodakpharmacy.com</a></span></font><o:p></o:p></p>
</div>
<div>
<div class="MsoNormal" style="text-align: center;" align="center"><font
face="Times New Roman" size="3"><span style="font-size: 12pt;">
<hr tabindex="-1" align="center" size="2" width="100%"></span></font></div>
<p class="MsoNormal"><b><font face="Tahoma" size="2"><span
style="font-size: 10pt; font-family: Tahoma; font-weight: bold;">From:</span></font></b><font
face="Tahoma" size="2"><span
style="font-size: 10pt; font-family: Tahoma;">
<a class="moz-txt-link-abbreviated" href="mailto:pharmwaste-bounces@lists.dep.state.fl.us">pharmwaste-bounces@lists.dep.state.fl.us</a>
[<a class="moz-txt-link-freetext" href="mailto:pharmwaste-bounces@lists.dep.state.fl.us">mailto:pharmwaste-bounces@lists.dep.state.fl.us</a>] <b><span
style="font-weight: bold;">On Behalf Of </span></b>Sue Dayton<br>
<b><span style="font-weight: bold;">Sent:</span></b> Wednesday,
February 03, 2010
1:22 PM<br>
<b><span style="font-weight: bold;">To:</span></b>
<a class="moz-txt-link-abbreviated" href="mailto:pharmwaste@lists.dep.state.fl.us">pharmwaste@lists.dep.state.fl.us</a><br>
<b><span style="font-weight: bold;">Subject:</span></b> [Pharmwaste]
FW:
Chemicals in water altering genders of fish (*LakePepin, Peedee and
Potomac
Rivers)</span></font><o:p></o:p></p>
</div>
<p class="MsoNormal"><font face="Times New Roman" size="3"><span
style="font-size: 12pt;"><o:p> </o:p></span></font></p>
<p class="MsoNormal"><span class="datestamp"><i><font
face="Times New Roman" size="3"><span
style="font-size: 12pt; font-style: italic;">The “generating source”
for these hormone-disrupting chemicals found in rivers and streams is
PEOPLE as
part of the never-ending waste stream from homes, businesses,
restaurants, hospitals,
research labs, veterinary clinics, funeral homes, nursing homes, and
industry
which takes a brief stop at the local wastewater treatment plant before
these <u>unregulated
and untested and unremoved</u> hormone disrupting chemicals are
discharged as
effluent into surface waters and onto farmlands via sewage sludge (aka,
biosolids) where the chemicals are found to concentrate. The problem
may not
just be affecting smallmouth bass, </span></font></i></span><i><span
style="font-style: italic;">carp, catfish and sturgeon,</span></i> <span
class="datestamp"><i><span style="font-style: italic;">but humans as
well seen
through research studies showing decreasing sperm counts in men. A
video is
also available for viewing at this link. Thoughts, anyone? -- Sue<o:p></o:p></span></i></span></p>
<p class="MsoNormal"><span class="datestamp"><font
face="Times New Roman" size="3"><span style="font-size: 12pt;">.........................................................<o:p></o:p></span></font></span></p>
<p class="MsoNormal"><span class="datestamp"><font
face="Times New Roman" size="3"><span style="font-size: 12pt;"><o:p> </o:p></span></font></span></p>
<p class="MsoNormal"><span class="datestamp"><font
face="Times New Roman" size="3"><span style="font-size: 12pt;"><o:p> </o:p></span></font></span></p>
<p class="MsoNormal"><span class="datestamp"><font
face="Times New Roman" size="3"><span style="font-size: 12pt;"><a
moz-do-not-send="true"
href="http://www.cbsnews.com/stories/2009/11/25/eveningnews/main5778106.shtml">http://www.cbsnews.com/stories/2009/11/25/eveningnews/main5778106.shtml</a><o:p></o:p></span></font></span></p>
<p class="MsoNormal"><span class="datestamp"><font
face="Times New Roman" size="3"><span style="font-size: 12pt;"><o:p> </o:p></span></font></span></p>
<p class="MsoNormal"><st1:place w:st="on"><st1:City w:st="on"><span
class="datestamp"><font face="Times New Roman" size="3"><span
style="font-size: 12pt;">COLUMBIA</span></font></span></st1:City><span
class="datestamp">, <st1:State w:st="on">Mo.</st1:State></span></st1:place><span
class="datestamp">, Nov. 25,
2009</span> <o:p></o:p></p>
<h1><b><font face="Times New Roman" size="6"><span
style="font-size: 24pt;">Chemicals
in Water Alter Gender of Fish<o:p></o:p></span></font></b></h1>
<h2><b><font face="Times New Roman" size="5"><span
style="font-size: 18pt;">Pollution
Brings Worrying Signs for Fish Populations; Worse, Most <st1:place
w:st="on"><st1:country-region w:st="on">U.S.</st1:country-region></st1:place>
Drinking Water Comes from the
Same Sources<o:p></o:p></span></font></b></h2>
<p class="MsoNormal"><font face="Arial" size="2"><span
style="font-size: 10pt; font-family: Arial;"><o:p> </o:p></span></font></p>
</div>
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