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<P>Jeff, in our patient safety research we disappointingly have learned that even the most educated people do not believe drugs expire. some believe (and there might be a marketing campaign) that drug companies and the FDA are in cahoots to mislead the public about expiration date so that consumer can buy more drugs. Working with national leaders and experts like Dr. Stevan Gressitt, we don't get too surprised any more. I still friends who has a stockpile of Tamiflu purchased through internet several years ago during the avian-flu pandemic scare. </P>
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<P>There is a huge disconnect between the public's perception and the reality with medicines, unfortunately.</P>
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<P>Matthew C. Mireles<BR><BR><BR></P>
<BLOCKQUOTE style="BORDER-LEFT: #0000ff 2px solid; PADDING-LEFT: 5px; MARGIN-LEFT: 0px">-----Original Message----- <BR>From: Jeff Hollar <JHOLLAR@PWASTE.COM><BR>Sent: Mar 24, 2010 8:58 AM <BR>To: 'Sue Dayton' <SDAYTON@SWCP.COM>, "'Matthew C. Mireles'" <MIRELESMC@EARTHLINK.NET>, "'Gressitt,Stevan'" <STEVAN.GRESSITT@MAINE.GOV>, pharmwaste@lists.dep.state.fl.us, rxnews@listserve.com <BR>Cc: linkfilion@communityofcompetence.com, easmith@communityofcompetence.com <BR>Subject: RE: [Pharmwaste] FW: Google Alert - unused medicine disposal <BR><BR><?XML:NAMESPACE PREFIX = [default] http://www.w3.org/TR/REC-html40 NS = "http://www.w3.org/TR/REC-html40" /><ZZZhtml xmlns="http://www.w3.org/TR/REC-html40" xmlns:m="http://schemas.microsoft.com/office/2004/12/omml" xmlns:w="urn:schemas-microsoft-com:office:word" xmlns:o="urn:schemas-microsoft-com:office:office" xmlns:v="urn:schemas-microsoft-com:vml" xmlns:ZZZhtml="http://www.w3.org/TR/REC-html40"><ZZZhead><ZZZmeta content="text/html; charset=us-ascii" http-equiv="Content-Type"><ZZZmeta content="Microsoft Word 12 (filtered medium)" name="Generator"><ZZZ!--[if !mso]>
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<P class=MsoNormal><SPAN style="FONT-FAMILY: 'Calibri','sans-serif'; COLOR: #1f497d; FONT-SIZE: 11pt">This is not a recent issue. About 7 years ago I was in a very large flea market in southern Florida and ran across the same situation. The vendor was selling loads of expired OTC products with the original packaging. When I asked the vendor where they acquired the merchandise from, he was very vague in his response but did indicate it was from “a local company”. Realistically, how many people off the street will think about checking the expiration date on these products.<o:p></o:p></SPAN></P>
<P class=MsoNormal><SPAN style="FONT-FAMILY: 'Calibri','sans-serif'; COLOR: #1f497d; FONT-SIZE: 11pt"><o:p> </o:p></SPAN></P>
<P class=MsoNormal><SPAN style="FONT-FAMILY: 'Calibri','sans-serif'; COLOR: #1f497d; FONT-SIZE: 11pt">Regarding the placing of pharmaceuticals in a bag on your doorstep for collection. How absurd is this? Maybe I should leave the house key in the bag so they can come in and collect my wife’s jewelry as well. Gee, how hard would it be to bust these guys? Maybe when they come around to collect the bags? Or, maybe you won’t bust the perpetrators, but just some junkies that take advantage of this opportunity. I hope there is a follow up to this story…<o:p></o:p></SPAN></P>
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<P class=MsoNormal><SPAN style="FONT-FAMILY: 'Calibri','sans-serif'; COLOR: #1f497d; FONT-SIZE: 11pt">Thanks for sharing.<o:p></o:p></SPAN></P>
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<P class=MsoNormal><SPAN style="FONT-FAMILY: 'Calibri','sans-serif'; COLOR: black; FONT-SIZE: 10pt">Jeff Hollar</SPAN><SPAN style="FONT-FAMILY: 'Calibri','sans-serif'; COLOR: #1f497d; FONT-SIZE: 11pt"><o:p></o:p></SPAN></P>
<P class=MsoNormal><SPAN style="FONT-FAMILY: 'Calibri','sans-serif'; COLOR: black; FONT-SIZE: 10pt">President</SPAN><SPAN style="FONT-FAMILY: 'Calibri','sans-serif'; COLOR: #1f497d; FONT-SIZE: 11pt"><o:p></o:p></SPAN></P>
<P class=MsoNormal><B><SPAN style="FONT-FAMILY: 'Calibri','sans-serif'; COLOR: blue; FONT-SIZE: 11pt">PharmWaste Technologies, Inc.</SPAN></B><SPAN style="FONT-FAMILY: 'Calibri','sans-serif'; COLOR: #1f497d; FONT-SIZE: 11pt"><o:p></o:p></SPAN></P>
<P class=MsoNormal><SPAN style="FONT-FAMILY: 'Calibri','sans-serif'; COLOR: black; FONT-SIZE: 10pt">(P) 515-276-5302 Ext. 316</SPAN><SPAN style="FONT-FAMILY: 'Calibri','sans-serif'; COLOR: #1f497d; FONT-SIZE: 11pt"><o:p></o:p></SPAN></P>
<P class=MsoNormal><SPAN style="FONT-FAMILY: 'Calibri','sans-serif'; COLOR: black; FONT-SIZE: 10pt">(E) <A href="mailto:Jhollar@Pwaste.com" target=_blank>Jhollar@Pwaste.com</A><o:p></o:p></SPAN></P>
<P class=MsoNormal><SPAN style="FONT-FAMILY: 'Calibri','sans-serif'; COLOR: black; FONT-SIZE: 10pt">(W) www.pwaste.com<o:p></o:p></SPAN></P>
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<P class=MsoNormal><B><SPAN style="FONT-FAMILY: 'Tahoma','sans-serif'; FONT-SIZE: 10pt">From:</SPAN></B><SPAN style="FONT-FAMILY: 'Tahoma','sans-serif'; FONT-SIZE: 10pt"> Sue Dayton [mailto:sdayton@swcp.com] <BR><B>Sent:</B> Wednesday, March 24, 2010 8:29 AM<BR><B>To:</B> 'Matthew C. Mireles'; 'Gressitt,Stevan'; pharmwaste@lists.dep.state.fl.us; rxnews@listserve.com<BR><B>Cc:</B> linkfilion@communityofcompetence.com; easmith@communityofcompetence.com<BR><B>Subject:</B> RE: [Pharmwaste] FW: Google Alert - unused medicine disposal<o:p></o:p></SPAN></P></DIV></DIV>
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<P class=MsoNormal><SPAN style="FONT-FAMILY: 'Arial','sans-serif'; COLOR: navy; FONT-SIZE: 10pt">I just went to a flea market in SC outside of Columbia. SAME deal. There was at least 3 troughs (2’ x 10 ‘) holding mountains, piled on top of each other, of various over-the-counter meds. I was flabbergasted! <o:p></o:p></SPAN></P>
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<P class=MsoNormal><SPAN style="FONT-FAMILY: 'Arial','sans-serif'; COLOR: navy; FONT-SIZE: 10pt">Where are they getting these? <o:p></o:p></SPAN></P>
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<P class=MsoNormal><SPAN style="FONT-FAMILY: 'Arial','sans-serif'; COLOR: navy; FONT-SIZE: 10pt">Sue Dayton</SPAN><SPAN style="COLOR: navy"><o:p></o:p></SPAN></P>
<P class=MsoNormal><SPAN style="FONT-FAMILY: 'Arial','sans-serif'; COLOR: navy; FONT-SIZE: 10pt">Blue Ridge Environmental Defense League</SPAN><SPAN style="COLOR: navy"><o:p></o:p></SPAN></P>
<P class=MsoNormal><SPAN style="FONT-FAMILY: 'Arial','sans-serif'; COLOR: navy; FONT-SIZE: 10pt">North Carolina Healthy Communities Program</SPAN><SPAN style="COLOR: navy"><o:p></o:p></SPAN></P>
<P class=MsoNormal><SPAN style="FONT-FAMILY: 'Arial','sans-serif'; COLOR: navy; FONT-SIZE: 10pt">PO BOX 44</SPAN><SPAN style="COLOR: navy"><o:p></o:p></SPAN></P>
<P class=MsoNormal><SPAN style="FONT-FAMILY: 'Arial','sans-serif'; COLOR: navy; FONT-SIZE: 10pt">Saxapahaw, NC 27340</SPAN><SPAN style="COLOR: navy"><o:p></o:p></SPAN></P>
<P class=MsoNormal><SPAN style="FONT-FAMILY: 'Arial','sans-serif'; COLOR: navy; FONT-SIZE: 10pt">(336) 525-2003</SPAN><SPAN style="COLOR: navy"><o:p></o:p></SPAN></P>
<P class=MsoNormal><SPAN style="FONT-FAMILY: 'Arial','sans-serif'; COLOR: navy; FONT-SIZE: 10pt"><A href="mailto:sdayton@swcp.com" target=_blank>sdayton@swcp.com</A></SPAN><SPAN style="COLOR: navy"><o:p></o:p></SPAN></P>
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<P class=MsoNormal><B><SPAN style="FONT-FAMILY: 'Tahoma','sans-serif'; FONT-SIZE: 10pt">From:</SPAN></B><SPAN style="FONT-FAMILY: 'Tahoma','sans-serif'; FONT-SIZE: 10pt"> pharmwaste-bounces@lists.dep.state.fl.us [mailto:pharmwaste-bounces@lists.dep.state.fl.us] <B>On Behalf Of </B>Matthew C. Mireles<BR><B>Sent:</B> Monday, March 22, 2010 2:30 PM<BR><B>To:</B> Gressitt,Stevan; pharmwaste@lists.dep.state.fl.us; rxnews@listserve.com<BR><B>Cc:</B> linkfilion@communityofcompetence.com; easmith@communityofcompetence.com<BR><B>Subject:</B> Re: [Pharmwaste] FW: Google Alert - unused medicine disposal</SPAN><o:p></o:p></P></DIV>
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<P><SPAN style="FONT-FAMILY: 'Arial','sans-serif'; COLOR: black; FONT-SIZE: 10pt">We have been receiving very interesting stories about unused and expired medicines through our new patient safety reporting system called <STRONG><SPAN style="FONT-FAMILY: 'Arial','sans-serif'">Share Our Stories</SPAN></STRONG> (S.O.S.). One in particular deals with unused and expired meds (UEMs) showing up at a weekend flea market... <o:p></o:p></SPAN></P>
<P><SPAN style="FONT-FAMILY: 'Arial','sans-serif'; COLOR: black; FONT-SIZE: 10pt"> <o:p></o:p></SPAN></P>
<P><SPAN style="FONT-FAMILY: 'Arial','sans-serif'; COLOR: black; FONT-SIZE: 10pt">S.O.S. is an anonymous system for patients and families to report medical adverse experiences as well as give us good suggestions about patient safety and healthcare outcomes. However, most of the reports that we have received involved adverse medication events (drug interactions) or side effects that presumably caused the patient to discontinue the meds (non-adherence) and stockpile them at home or work.<o:p></o:p></SPAN></P>
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<P><SPAN style="FONT-FAMILY: 'Arial','sans-serif'; COLOR: black; FONT-SIZE: 10pt">Excerpt from original story:<o:p></o:p></SPAN></P>
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<P class=MsoNormal><SPAN style="FONT-FAMILY: 'Arial','sans-serif'; COLOR: black; FONT-SIZE: 10pt">I recently went to a local flea market and found many vendors selling medicine. They ranged from tylenol, pepcid, zyrtec, prevacid, to robitussin. Some of the medication, in fact most of it was expired. Some of the med boxes had certain parts of the box torn off. Some of the boxes had a statement that " The makers of Pepcid Complete od not manufacture store brands." I would like to know what the quote means and would also like to know what pottential risks there are to taking expired meds. I am a senior nursing major and medicine is a big part of what <o:p></o:p></SPAN></P>
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<P class=MsoNormal><SPAN style="FONT-FAMILY: 'Arial','sans-serif'; COLOR: black; FONT-SIZE: 10pt">I recently went to a local flea market and found many vendors selling medicine. They ranged from tylenol, pepcid, zyrtec, prevacid, to robitussin. Some of the medication, in fact most of it was expired. Some of the med boxes had certain parts of the box torn off. Some of the boxes had a statement that " The makers of Pepcid Complete od not manufacture store brands." I would like to know what the quote means and would also like to know what pottential risks there are to taking expired meds. I am a senior nursing major and medicine is a big part of what I do. This recent discovery troubles me. Please help. Thank you for your time.<o:p></o:p></SPAN></P></DIV>
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<P class=MsoNormal><SPAN style="FONT-FAMILY: 'Arial','sans-serif'; COLOR: black; FONT-SIZE: 10pt">Matthew C. Mireles, PhD, MPH<o:p></o:p></SPAN></P></DIV>
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<P class=MsoNormal><SPAN style="FONT-FAMILY: 'Arial','sans-serif'; COLOR: black; FONT-SIZE: 10pt">Community Medical Foundation for Patient Safety<o:p></o:p></SPAN></P></DIV></DIV>
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<P style="MARGIN-BOTTOM: 12pt" class=MsoNormal><SPAN style="FONT-FAMILY: 'Arial','sans-serif'; COLOR: black; FONT-SIZE: 10pt">-----Original Message----- <BR>From: "Gressitt, Stevan" <BR>Sent: Mar 21, 2010 6:26 PM <BR>To: pharmwaste@lists.dep.state.fl.us, rxnews@listserve.com <BR>Subject: [Pharmwaste] FW: Google Alert - unused medicine disposal <BR><BR><o:p></o:p></SPAN></P>
<P class=MsoNormal><SPAN style="FONT-FAMILY: 'Arial','sans-serif'; COLOR: navy; FONT-SIZE: 10pt">I would be interested if anyone runs into any other examples of this.</SPAN><SPAN style="COLOR: black"><o:p></o:p></SPAN></P>
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<P style="MARGIN-LEFT: 0.5in" class=MsoNormal><SPAN style="FONT-FAMILY: 'Goudy Old Style','serif'; COLOR: #993366; FONT-SIZE: 10pt">Stevan Gressitt, M.D., Medical Director</SPAN><SPAN style="COLOR: black"><o:p></o:p></SPAN></P>
<P style="MARGIN-LEFT: 0.5in" class=MsoNormal><SPAN style="FONT-FAMILY: 'Goudy Old Style','serif'; COLOR: #993366; FONT-SIZE: 10pt">Office of Adult Mental Health Services</SPAN><SPAN style="COLOR: black"><o:p></o:p></SPAN></P>
<P style="MARGIN-LEFT: 0.5in" class=MsoNormal><SPAN style="FONT-FAMILY: 'Goudy Old Style','serif'; COLOR: #993366; FONT-SIZE: 10pt">Department of Health and Human Services</SPAN><SPAN style="COLOR: black"><o:p></o:p></SPAN></P>
<P style="MARGIN-LEFT: 0.5in" class=MsoNormal><SPAN style="FONT-FAMILY: 'Goudy Old Style','serif'; COLOR: #993366; FONT-SIZE: 10pt">Marquardt Building, 2nd Floor</SPAN><SPAN style="COLOR: black"><o:p></o:p></SPAN></P>
<P style="MARGIN-LEFT: 0.5in" class=MsoNormal><SPAN style="FONT-FAMILY: 'Goudy Old Style','serif'; COLOR: #993366; FONT-SIZE: 10pt">11 State House Station</SPAN><SPAN style="COLOR: black"><o:p></o:p></SPAN></P>
<P style="MARGIN-LEFT: 0.5in" class=MsoNormal><SPAN style="FONT-FAMILY: 'Goudy Old Style','serif'; COLOR: #993366; FONT-SIZE: 10pt">32 Blossom Lane</SPAN><SPAN style="COLOR: black"><o:p></o:p></SPAN></P>
<P style="MARGIN-LEFT: 0.5in" class=MsoNormal><SPAN style="FONT-FAMILY: 'Goudy Old Style','serif'; COLOR: #993366; FONT-SIZE: 10pt">Augusta, ME 04333-0011</SPAN><SPAN style="COLOR: black"><o:p></o:p></SPAN></P>
<P style="MARGIN-LEFT: 0.5in" class=MsoNormal><SPAN style="FONT-FAMILY: 'Goudy Old Style','serif'; COLOR: #993366; FONT-SIZE: 10pt">Ph: (207)287-4273</SPAN><SPAN style="COLOR: black"><o:p></o:p></SPAN></P>
<P style="MARGIN-LEFT: 0.5in" class=MsoNormal><SPAN style="FONT-FAMILY: 'Goudy Old Style','serif'; COLOR: #993366; FONT-SIZE: 10pt">Fax: (207)287-1022</SPAN><SPAN style="COLOR: black"><o:p></o:p></SPAN></P>
<P style="MARGIN-LEFT: 0.5in" class=MsoNormal><SPAN style="FONT-FAMILY: 'Goudy Old Style','serif'; COLOR: #993366; FONT-SIZE: 10pt">Cell Phone: (207) 441-0291</SPAN><SPAN style="COLOR: black"><o:p></o:p></SPAN></P>
<P style="MARGIN-LEFT: 0.5in" class=MsoNormal><SPAN style="FONT-FAMILY: 'Goudy Old Style','serif'; COLOR: #993366; FONT-SIZE: 10pt">E-Mail : <A title=mailto:stevan.gressitt@maine.gov href="mailto:stevan.gressitt@maine.gov" target=_blank>stevan.gressitt@maine.gov</A></SPAN><SPAN style="COLOR: black"><o:p></o:p></SPAN></P>
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<P style="TEXT-ALIGN: justify; MARGIN-LEFT: 0.5in" class=MsoNormal><EM><B><SPAN style="FONT-FAMILY: 'Goudy Old Style','serif'; COLOR: black; FONT-SIZE: 8pt">Confidentiality Notice</SPAN></B></EM><SPAN style="FONT-FAMILY: 'Goudy Old Style','serif'; COLOR: black; FONT-SIZE: 8pt">: This e-mail message, including any attachments, is for the sole use of the intended recipient(s). It may contain confidential and privileged information. Any unauthorized review, copy, use, disclosure, or distribution is prohibited. If you are not the intended recipient, please note that any dissemination, distribution or copying of this is strictly prohibited. Please contact me by reply e-mail or telephone and destroy all copies of<B><I> </I></B>this message</SPAN><SPAN style="FONT-FAMILY: 'Goudy Old Style','serif'; COLOR: blue; FONT-SIZE: 8pt">.</SPAN><SPAN style="COLOR: black"><o:p></o:p></SPAN></P>
<P style="TEXT-ALIGN: justify; MARGIN-LEFT: 0.5in" class=MsoNormal><SPAN style="FONT-FAMILY: 'Goudy Old Style','serif'; COLOR: black; FONT-SIZE: 8pt">The Department of Health and Human Services (DHHS) does not discriminate on the basis of disability, race, color, creed, gender, sexual orientation, age, or national origin, in admission to, access to, or operations of its programs, services, or activities, or its hiring or employment practices. This notice is provided as required by Title II of the Americans with Disabilities Act of 1990 and in accordance with the Civil Rights Act of 1964 as amended, Section 504 of the Rehabilitation Act of 1973, as amended, the Age Discrimination Act of 1975, Title IX of the Education Amendments of 1972 and the Maine Human Rights Act and Executive Order Regarding State of Maine Contracts for Services. Questions, concerns, complaints or requests for additional information regarding the ADA may be forwarded to DHHS’ ADA Compliance/EEO Coordinators, 11 SHS-221 State Street, Augusta, Maine 04333, 207-287-4289 (V), 207-287-3488 (V), 1-800-606-0215 (TTY). </SPAN><SPAN style="COLOR: black"><o:p></o:p></SPAN></P>
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<P class=MsoNormal><SPAN style="COLOR: black"><A href="http://www.google.com/url?sa=X&q=http://www.guardian-series.co.uk/news/5074038.REDBRIDGE__Warning_over_bogus_medicine_collections/&ct=ga&cad=7:1:0&cd=g0eIVl7uMXE&usg=AFQjCNFaI0W-njiVy2MmpHXVITwQa-T3Zg" target=_blank>REDBRIDGE: Warning over bogus <B>medicine</B> collections</A><BR></SPAN><SPAN style="COLOR: #666666; FONT-SIZE: 10pt">Guardian Series</SPAN><SPAN style="COLOR: black; FONT-SIZE: 10pt"><BR>People with any concerns or questions on the scam or on the <B>disposal</B> of <B>medicines</B> should speak to their GP or local pharmacist. <B>...</B> </SPAN><SPAN style="COLOR: black"><o:p></o:p></SPAN></P>
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<P class=MsoNormal><SPAN style="COLOR: black; FONT-SIZE: 10pt"><BR><A href="http://news.google.com/news/story?ncl=http://www.guardian-series.co.uk/news/5074038.REDBRIDGE__Warning_over_bogus_medicine_collections/&hl=en" target=_blank><SPAN style="COLOR: green">See all stories on this topic</SPAN></A> </SPAN><SPAN style="COLOR: black"><o:p></o:p></SPAN></P></DIV></TD></TR></TBODY></TABLE></DIV></DIV></DIV>
<P class=MsoNormal><SPAN style="COLOR: black"><BR><BR clear=all><BR>-- <BR><BR>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>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="mailto:stevan.gressitt@maine.gov" target=_blank>stevan.gressitt@maine.gov</A><o:p></o:p></SPAN></P></BLOCKQUOTE></DIV></ZZZbody></ZZZhtml></BLOCKQUOTE></ZZZ![endif]--></ZZZ!--[if></ZZZ![endif]--></ZZZ!--[if></ZZZ![endif]--></ZZZ!--[if></ZZZmeta></ZZZmeta></BODY>