<HTML><HEAD>
<META http-equiv=Content-Type content="text/html; charset=iso-8859-1">
<STYLE type=text/css><!-- DIV {margin:0px;} --></STYLE>
<META content="MSHTML 6.00.2900.5921" name=GENERATOR></HEAD>
<BODY style="MARGIN: 4px 4px 1px; FONT: 10pt Arial; COLOR: #000000">
<DIV>Michele, I like your out-of-the-box thinking, but (as my post yesterday alluded to) prescription drugs are not the only chemicals that come to wastewater treatment plants.</DIV>
<DIV> </DIV>
<DIV>In addition to water, human waste and toilet paper, we also get traditional pollutants (mercury, copper, lead, etc.), OTC medications, pesticides, flame retardants, plasticizers, household cleaners, laundry and dishwasher detergents, a myriad of personal-care products (lotions, deodorants, soaps, shampoos, perfumes, etc.), nanoparticles, and many, many more.</DIV>
<DIV> </DIV>
<DIV>In a nutshell, it is not possible to design a centralized wastewater treatment system to render all those contents benign.</DIV>
<DIV> </DIV>
<DIV>Melody LaBella</DIV>
<DIV>Environmental Engineer/</DIV>
<DIV>Pollution Prevention Program Coordinator</DIV>
<DIV>Central Contra Costa Sanitary District</DIV>
<DIV>Martinez, CA<BR><BR>>>> Michele Wisniewski <mediservrx@yahoo.com> 2/5/2010 9:08:41 AM >>><BR></DIV>
<DIV style="COLOR: #000000">
<DIV style="FONT-SIZE: 10pt; FONT-FAMILY: times new roman, new york, times, serif">
<DIV></DIV>
<DIV>
<DIV>Hi guys,</DIV>
<DIV> </DIV>
<DIV>Allen said "Each town has its own individually flavored soup making a standardized chemical panacea impossible to design."</DIV>
<DIV> </DIV>
<DIV>That's correct and by the same token each town has it's own doctors and their favorite list of drugs. All docs seem to have a group of "old standbys" that they prescribe regularly. With the advent of E- Prescribe wouldn't it make sense to route drug information, not anything hippa related, through a state wastewater database so we can clean up "our indiviually flavored soup" more effectivley. If the docs are prescribing primarily anti-arrythmics and estrogen with no anitbiotics, then we cut our cost by tailoring our clean up and we focus on what is needed not our 1 fix for all big budget excuse for state and locals not to clean up our soup.<BR><BR> </DIV></DIV>
<DIV align=left><FONT face="comic sans ms" color=#c00000><STRONG>Michele Wisniewski</STRONG></FONT></DIV>
<DIV align=left><STRONG><FONT face="Comic Sans MS" color=#c00000>Purchasing Agent</FONT></STRONG></DIV>
<DIV align=left><STRONG><FONT face="Comic Sans MS" color=#c00000>Mediserv Pharmacy</FONT></STRONG></DIV>
<DIV align=left><STRONG><FONT face="Comic Sans MS" color=#c00000>941-927-2811</FONT></STRONG></DIV>
<DIV><BR></DIV>
<DIV style="FONT-SIZE: 10pt; FONT-FAMILY: times new roman, new york, times, serif"><BR>
<DIV style="FONT-SIZE: 13px; FONT-FAMILY: arial, helvetica, sans-serif"><FONT face=Tahoma size=2>----- Forwarded Message ----<BR><B><SPAN style="FONT-WEIGHT: bold">From:</SPAN></B> Sue Dayton <sdayton@swcp.com><BR><B><SPAN style="FONT-WEIGHT: bold">To:</SPAN></B> "Gilliam, Allen" <GILLIAM@adeq.state.ar.us>; Howard Anderson <ndboph@btinet.net>; pharmwaste@lists.dep.state.fl.us<BR><B><SPAN style="FONT-WEIGHT: bold">Sent:</SPAN></B> Thu, February 4, 2010 11:38:23 AM<BR><B><SPAN style="FONT-WEIGHT: bold">Subject:</SPAN></B> RE: [Pharmwaste] FW: Chemicals in water altering genders of fish(*LakePepin, Peedee and Potomac Rivers)<BR></FONT><BR>There are approx 84,000 chemicals in commercial use, 20% of these are<BR>protected as trade secrets (some classified as extremely hazardous), and 700<BR>new chemicals are introduced each year with little or no analysis of<BR>risk....<BR><BR>Sue Dayton<BR>Blue Ridge Environmental Defense League<BR>North Carolina Healthy Communities Program<BR>PO BOX 44<BR>Saxapahaw, NC 27340<BR>(336) 525-2003<BR><A href="mailto:sdayton@swcp.com" ymailto="mailto:sdayton@swcp.com">sdayton@swcp.com</A><BR><BR><BR><BR><BR>Our lives begin to end the day we become silent about things that matter.<BR>- Martin Luther King Jr.<BR><BR><BR><BR><BR><BR>-----Original Message-----<BR>From: Gilliam, Allen [mailto:<A href="mailto:GILLIAM@adeq.state.ar.us" ymailto="mailto:GILLIAM@adeq.state.ar.us">GILLIAM@adeq.state.ar.us</A>] <BR>Sent: Thursday, February 04, 2010 9:48 AM<BR>To: 'Howard Anderson'; 'Sue Dayton'; <A href="mailto:pharmwaste@lists.dep.state.fl.us" ymailto="mailto:pharmwaste@lists.dep.state.fl.us">pharmwaste@lists.dep.state.fl.us</A><BR>Subject: RE: [Pharmwaste] FW: Chemicals in water altering genders of<BR>fish(*LakePepin, Peedee and Potomac Rivers)<BR><BR>No offense intended Howard, but this has to get a 5 "chuckles up" rating.<BR><BR>It's been stated on this listserve and reported in various studies,<BR>"nationwide, there's an overall 50% non-adherence rate". Where'd you get<BR>your 1%?<BR><BR>Ripped a stitch on, "...teaching our sewage systems to render the chemicals<BR>benign."<BR><BR>Right on bro, if you meant to equate "teach" to acclimate. I've not seen<BR>any specific studies, but it's quite probable most of our wastewater<BR>treatment plants' biomass (the bacterial engine active in converting human<BR>waste [organics] to its various inert elements/basic compounds/gases) have<BR>been "taught" thru their short little evolutionary periods to adapt and<BR>accept as food some pharmaceutical (and personal care) compounds and their<BR>metabolites.<BR><BR>The fact remains, they either don't have the time to "learn" and/or just<BR>can't use most(?) of the pharmaceutical compounds (inorganics? Ain't gonna<BR>happen) as their food and good portion of un-metabolized and morphed<BR>pharmaceuticals are going to pass through to the receiving bodies of water.<BR>Our babies are still going to be born naked.<BR><BR>Each town has its own individually flavored soup making a standardized<BR>chemical panacea impossible to design.<BR><BR>The use of pharmaceuticals is on an exponential increase and newer ones are<BR>being developed seemingly on a monthly basis.<BR><BR>Again, sorry if I came across as flippant, but the best researchers around<BR>the country are working on both source reduction and tertiary WWTP processes<BR>which will help remove more of pharmaceuticals (and personal care products)<BR>before they reach waters of the U.S. As long as these two elements work in<BR>conjunction, solutions will be discovered and practiced slowly and surely<BR>across the nation.<BR><BR>Allen Gilliam<BR>ADEQ State Pretreatment type guy<BR><BR><BR>-----Original Message-----<BR>From: <A href="mailto:pharmwaste-bounces@lists.dep.state.fl.us" ymailto="mailto:pharmwaste-bounces@lists.dep.state.fl.us">pharmwaste-bounces@lists.dep.state.fl.us</A><BR>[mailto:<A href="mailto:pharmwaste-bounces@lists.dep.state.fl.us" ymailto="mailto:pharmwaste-bounces@lists.dep.state.fl.us">pharmwaste-bounces@lists.dep.state.fl.us</A>] On Behalf Of Howard<BR>Anderson<BR>Sent: Wednesday, February 03, 2010 4:55 PM<BR>To: 'Sue Dayton'; <A href="mailto:pharmwaste@lists.dep.state.fl.us" ymailto="mailto:pharmwaste@lists.dep.state.fl.us">pharmwaste@lists.dep.state.fl.us</A><BR>Subject: RE: [Pharmwaste] FW: Chemicals in water altering genders of fish<BR>(*LakePepin, Peedee and Potomac Rivers)<BR><BR><BR>Dear Pharmwaste List:<BR><BR>Remember that over 99% of these drugs come from excretions by those of us<BR>who take the drugs and excrete metabolites, or in many cases largely<BR>unchanged drug. We should concentrate our efforts on teaching our sewage<BR>systems to render the chemicals benign. Sometimes we spend a lot of time and<BR>money trying to solve 1 percent of the problem, when we should be better<BR>served solving the 99 percent. Then the extra 1 percent would come along, as<BR>a matter of course.<BR><BR>Sincerely,<BR><BR>Howard<BR><BR>Howard C. Anderson, Jr.,R.Ph.<BR>Executive Director<BR>North Dakota Board of Pharmacy<BR>1906 E. Broadway Ave.<BR>P.O. Box 1354<BR>Bismarck, ND 58502-1354<BR>Phone (701) 328-9535<BR>Fax (701) 328-9536<BR>Web site <A href="http://www.nodakpharmacy.com/" target=_blank>www.nodakpharmacy.com</A><BR><BR><BR><BR>From: <A href="mailto:pharmwaste-bounces@lists.dep.state.fl.us" ymailto="mailto:pharmwaste-bounces@lists.dep.state.fl.us">pharmwaste-bounces@lists.dep.state.fl.us</A><BR>[mailto:<A href="mailto:pharmwaste-bounces@lists.dep.state.fl.us" ymailto="mailto:pharmwaste-bounces@lists.dep.state.fl.us">pharmwaste-bounces@lists.dep.state.fl.us</A>] On Behalf Of Sue Dayton<BR>Sent: Wednesday, February 03, 2010 1:22 PM<BR>To: <A href="mailto:pharmwaste@lists.dep.state.fl.us" ymailto="mailto:pharmwaste@lists.dep.state.fl.us">pharmwaste@lists.dep.state.fl.us</A><BR>Subject: [Pharmwaste] FW: Chemicals in water altering genders of fish<BR>(*LakePepin, Peedee and Potomac Rivers)<BR><BR>The "generating source" for these hormone-disrupting chemicals found in<BR>rivers and streams is PEOPLE as part of the never-ending waste stream from<BR>homes, businesses, restaurants, hospitals, research labs, veterinary<BR>clinics, funeral homes, nursing homes, and industry which takes a brief stop<BR>at the local wastewater treatment plant before these unregulated and<BR>untested and unremoved hormone disrupting chemicals are discharged as<BR>effluent into surface waters and onto farmlands via sewage sludge (aka,<BR>biosolids) where the chemicals are found to concentrate. The problem may not<BR>just be affecting smallmouth bass, carp, catfish and sturgeon, but humans as<BR>well seen through research studies showing decreasing sperm counts in men. A<BR>video is also available for viewing at this link. Thoughts, anyone? -- Sue<BR>.........................................................<BR><BR><BR>http://www.cbsnews.com/stories/2009/11/25/eveningnews/main5778106.shtml<BR><BR>COLUMBIA, Mo., Nov. 25, 2009<BR>Chemicals in Water Alter Gender of Fish<BR>Pollution Brings Worrying Signs for Fish Populations; Worse, Most U.S.<BR>Drinking Water Comes from the Same Sources<BR><BR>---<BR>Note: As a courtesy to other listserv subscribers, please post messages to the listserv in plain text format to avoid the garbling of messages received by digest recipients.<BR>---<BR>TO SUBSCRIBE, go to: http://lists.dep.state.fl.us/cgi-bin/mailman/listinfo/pharmwaste <BR>TO UNSUBSCRIBE, DO NOT REPLY TO THE LISTSERV. Please send an e-mail to <A href="mailto:pharmwaste-unsubscribe@lists.dep.state.fl.us" ymailto="mailto:pharmwaste-unsubscribe@lists.dep.state.fl.us">pharmwaste-unsubscribe@lists.dep.state.fl.us</A> -- the subject line and body of the e-mail should be blank.<BR>If you believe you may be subscribed with a different email address, please visit the subscriber listing at http://lists.dep.state.fl.us/cgi-bin/mailman/roster/pharmwaste <BR>FOR PROBLEMS: Contact List Administrator <A href="mailto:Laurie.Tenace@dep.state.fl.us" ymailto="mailto:Laurie.Tenace@dep.state.fl.us">Laurie.Tenace@dep.state.fl.us</A> <BR>SEND MAIL to the list server at: <A href="mailto:pharmwaste@lists.dep.state.fl.us" ymailto="mailto:pharmwaste@lists.dep.state.fl.us">pharmwaste@lists.dep.state.fl.us</A><BR></DIV></DIV></DIV><BR></DIV></BODY></HTML>