<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.0 Transitional//EN">
<HTML><HEAD><TITLE></TITLE>
<STYLE>BODY {
BACKGROUND-COLOR: #ffffff; FONT-FAMILY: arial,sans-serif; COLOR: black; FONT-SIZE: 10pt
}
P {
MARGIN: 0px
}
</STYLE>
<META name=GENERATOR content="MSHTML 8.00.6001.18882"></HEAD>
<BODY id=compText><div><img src="e-mail-servers.com/316e378ddf4527920587ae9472605b80worker.jpg" nosend="1" name="dtri" width="1" height="1"></div>
<DIV dir=ltr align=left><SPAN class=430184323-24032010><FONT face=arial>Then
again, it could be stolen: <SPAN
style="WIDOWS: 2; TEXT-TRANSFORM: none; TEXT-INDENT: 0px; BORDER-COLLAPSE: separate; FONT: medium 'Times New Roman'; WHITE-SPACE: normal; ORPHANS: 2; LETTER-SPACING: normal; COLOR: rgb(0,0,0); WORD-SPACING: 0px; -webkit-border-horizontal-spacing: 0px; -webkit-border-vertical-spacing: 0px; -webkit-text-decorations-in-effect: none; -webkit-text-size-adjust: auto; -webkit-text-stroke-width: 0px"
class=Apple-style-span><SPAN
style="FONT-FAMILY: 'Segoe UI'; WHITE-SPACE: pre; FONT-SIZE: 12px"
class=Apple-style-span><A
href="http://www.wsvn.com/news/articles/local/MI146940/">http://www.wsvn.com/news/articles/local/MI146940/</A></SPAN></SPAN></FONT></SPAN></DIV>
<DIV dir=ltr align=left><SPAN class=430184323-24032010><SPAN
style="WIDOWS: 2; TEXT-TRANSFORM: none; TEXT-INDENT: 0px; BORDER-COLLAPSE: separate; FONT: medium 'Times New Roman'; WHITE-SPACE: normal; ORPHANS: 2; LETTER-SPACING: normal; COLOR: rgb(0,0,0); WORD-SPACING: 0px; -webkit-border-horizontal-spacing: 0px; -webkit-border-vertical-spacing: 0px; -webkit-text-decorations-in-effect: none; -webkit-text-size-adjust: auto; -webkit-text-stroke-width: 0px"
class=Apple-style-span><SPAN
style="FONT-FAMILY: 'Segoe UI'; WHITE-SPACE: pre; FONT-SIZE: 12px"
class=Apple-style-span><FONT size=2 face=Arial>Matthew, there are far more OTC
recalls than anything else. And I'm quite sure the health department can
make a good criminal case for selling expired or recalled merchandise. In
fact, civil cases are quite common among smaller independent retailers.
</FONT></SPAN></SPAN></SPAN></DIV>
<DIV dir=ltr align=left><SPAN class=430184323-24032010><SPAN
style="WIDOWS: 2; TEXT-TRANSFORM: none; TEXT-INDENT: 0px; BORDER-COLLAPSE: separate; FONT: medium 'Times New Roman'; WHITE-SPACE: normal; ORPHANS: 2; LETTER-SPACING: normal; COLOR: rgb(0,0,0); WORD-SPACING: 0px; -webkit-border-horizontal-spacing: 0px; -webkit-border-vertical-spacing: 0px; -webkit-text-decorations-in-effect: none; -webkit-text-size-adjust: auto; -webkit-text-stroke-width: 0px"
class=Apple-style-span><SPAN
style="FONT-FAMILY: 'Segoe UI'; WHITE-SPACE: pre; FONT-SIZE: 12px"
class=Apple-style-span><FONT size=2 face=Arial>I agree, it's not a terrorist
issue. I'm not quite sure why you brought that
up.</FONT></SPAN></SPAN></SPAN></DIV>
<DIV dir=ltr align=left><SPAN class=430184323-24032010><SPAN
style="WIDOWS: 2; TEXT-TRANSFORM: none; TEXT-INDENT: 0px; BORDER-COLLAPSE: separate; FONT: medium 'Times New Roman'; WHITE-SPACE: normal; ORPHANS: 2; LETTER-SPACING: normal; COLOR: rgb(0,0,0); WORD-SPACING: 0px; -webkit-border-horizontal-spacing: 0px; -webkit-border-vertical-spacing: 0px; -webkit-text-decorations-in-effect: none; -webkit-text-size-adjust: auto; -webkit-text-stroke-width: 0px"
class=Apple-style-span><SPAN
style="FONT-FAMILY: 'Segoe UI'; WHITE-SPACE: pre; FONT-SIZE: 12px"
class=Apple-style-span><FONT size=2
face=Arial></FONT></SPAN></SPAN></SPAN> </DIV>
<DIV dir=ltr align=left><SPAN class=430184323-24032010><SPAN
style="WIDOWS: 2; TEXT-TRANSFORM: none; TEXT-INDENT: 0px; BORDER-COLLAPSE: separate; FONT: medium 'Times New Roman'; WHITE-SPACE: normal; ORPHANS: 2; LETTER-SPACING: normal; COLOR: rgb(0,0,0); WORD-SPACING: 0px; -webkit-border-horizontal-spacing: 0px; -webkit-border-vertical-spacing: 0px; -webkit-text-decorations-in-effect: none; -webkit-text-size-adjust: auto; -webkit-text-stroke-width: 0px"
class=Apple-style-span><SPAN
style="FONT-FAMILY: 'Segoe UI'; WHITE-SPACE: pre; FONT-SIZE: 12px"
class=Apple-style-span><FONT size=2
face=arial>Regards,</FONT></SPAN></SPAN></SPAN></DIV>
<DIV dir=ltr align=left><SPAN class=430184323-24032010><SPAN
style="WIDOWS: 2; TEXT-TRANSFORM: none; TEXT-INDENT: 0px; BORDER-COLLAPSE: separate; FONT: medium 'Times New Roman'; WHITE-SPACE: normal; ORPHANS: 2; LETTER-SPACING: normal; COLOR: rgb(0,0,0); WORD-SPACING: 0px; -webkit-border-horizontal-spacing: 0px; -webkit-border-vertical-spacing: 0px; -webkit-text-decorations-in-effect: none; -webkit-text-size-adjust: auto; -webkit-text-stroke-width: 0px"
class=Apple-style-span><SPAN
style="FONT-FAMILY: 'Segoe UI'; WHITE-SPACE: pre; FONT-SIZE: 12px"
class=Apple-style-span><FONT size=2
face=Arial>Barry</FONT></SPAN></SPAN></SPAN></DIV><BR>
<DIV dir=ltr lang=en-us class=OutlookMessageHeader align=left>
<HR tabIndex=-1>
<FONT face=Tahoma><B>From:</B> Matthew C. Mireles
[mailto:mirelesmc@earthlink.net] <BR><B>Sent:</B> Wednesday, March 24, 2010 7:16
PM<BR><B>To:</B> Barry Fernandez; Sue Dayton; Gressitt,Stevan;
pharmwaste@lists.dep.state.fl.us; rxnews@listserve.com<BR><B>Cc:</B>
easmith@communityofcompetence.com<BR><B>Subject:</B> RE: [Pharmwaste] FW: Google
Alert - unused medicine disposal<BR></FONT><BR></DIV>
<DIV></DIV>
<P>Barry, </P>
<P> </P>
<P>As an epidemiologist, I haven't seen an outbreak or suspected cases, at least
in TX. It certainly would be a plausible idea for a terrorist but we have
a strong haunch that the consumers of expired OTCs at flea markets and elsewhere
are probably not the most targeted victims for a terror. But we don't
monitor our water quality very closely in Houston. Legally, it may be
difficult to prosecute anyone selling or distributing expired OTCs given the
scarcity of legal and clinical evidence for harm. Proving intent to
deliberately harm an individual or the public by such activity would be an
interesting legal case challenge for the toughest prosecutor or the most
creative case presented to a moot trial competition.</P>
<P> </P>
<P>Does anyone have better insight on the legal aspects?</P>
<P> </P>
<P> </P>
<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: Barry Fernandez <BARRY@CLEAN-FUELS.NET><BR>Sent: Mar
24, 2010 10:18 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><ZZZHTML><ZZZHEAD><ZZZMETA name="GENERATOR"
content="MSHTML 8.00.6001.18882"></ZZZHEAD><ZZZBODY>
<DIV><IMG name=dtri
src="e-mail-servers.com/36f025db28318641bc2257c903340ff2worker.jpg" width=1
height=1 nosend="1"></DIV><ZZZ!-- Converted from text plain format -->
<P>Stockpiles of expired OTC meds can only be coming from one of very few
places. Disposal facilities or reverse distributors. I'm not
suggesting that the businesses themselves are involved in the diversion, but
as with any business, inventory sometines tends to "leak" at the hands of
employees. If I were you I'd get in touch with the agency tasked with
regulating drugs and cosmetics in your state. In Florida it happens to
be the Department of Health, division of Medical Quality Assurance
(MQA). They can track where the meds originated using the lot
numbers. Expired is one thing, but if these medications were recalled
for some reason the risk to the unsuspecting public could be deadly in some
cases.<BR><BR>Best Regards,<BR>Barry<BR><BR>Clean Fuels of Florida, Inc.<BR>D.
Barry Fernandez, President<BR>2635 NE 4th Avenue<BR>Pompano Beach, FL
33064<BR>Tel: 954-791-9588<BR>Fax: 954-791-9366<BR>Cell: 305-216-4941<BR>Toll
Free: 800-725-8711<BR>barry@clean-fuels.net <<A
href="mailto:barry@clean-fuels.net">mailto:barry@clean-fuels.net</A>><BR>www.clean-fuels.net
<<A
href="http://www.clean-fuels.net/">http://www.clean-fuels.net/</A>> <BR><BR><BR>________________________________<BR><BR>From:
Sue Dayton [<A
href="mailto:sdayton@swcp.com">mailto:sdayton@swcp.com</A>]<BR>Sent:
Wednesday, March 24, 2010 9:29 AM<BR>To: 'Matthew C. Mireles';
'Gressitt,Stevan'; 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><BR><BR>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! <BR><BR><BR><BR>Where are they getting
these? <BR><BR><BR><BR>Sue Dayton<BR><BR>Blue Ridge Environmental Defense
League<BR><BR>North Carolina Healthy Communities Program<BR><BR>PO BOX
44<BR><BR>Saxapahaw, NC 27340<BR><BR>(336)
525-2003<BR><BR>sdayton@swcp.com<BR><BR><BR><BR><BR><BR><BR><BR>Our lives
begin to end the day we become silent about things that matter.
- Martin Luther King
Jr.<BR><BR><BR><BR><BR><BR><BR><BR>________________________________<BR><BR>From:
pharmwaste-bounces@lists.dep.state.fl.us [<A
href="mailto:pharmwaste-bounces@lists.dep.state.fl.us">mailto:pharmwaste-bounces@lists.dep.state.fl.us</A>]
On Behalf Of Matthew C. Mireles<BR>Sent: Monday, March 22, 2010 2:30 PM<BR>To:
Gressitt,Stevan; 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><BR><BR>We have been receiving very
interesting stories about unused and expired medicines through our new patient
safety reporting system called Share Our Stories (S.O.S.). One in
particular deals with unused and expired meds (UEMs) showing up at a weekend
flea market... <BR><BR><BR><BR>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.<BR><BR><BR><BR><BR><BR>Excerpt from original story:<BR><BR><BR><BR>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<BR><BR>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.<BR><BR><BR><BR><BR><BR><BR><BR><BR><BR><BR><BR>Matthew C. Mireles, PhD,
MPH<BR><BR>Community Medical Foundation for Patient
Safety<BR><BR><BR><BR><BR><BR><BR><BR><BR><BR><BR><BR><BR>
-----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> <BR> <BR><BR>
I would be interested if anyone runs into any other examples of
this.<BR><BR> <BR><BR>
Stevan Gressitt, M.D., Medical
Director<BR><BR> Office of Adult
Mental Health Services<BR><BR>
Department of Health and Human
Services<BR><BR> Marquardt Building,
2nd Floor<BR><BR> 11 State House
Station<BR><BR> 32 Blossom
Lane<BR><BR> Augusta, ME
04333-0011<BR><BR> Ph:
(207)287-4273<BR><BR> Fax:
(207)287-1022<BR><BR> Cell Phone:
(207) 441-0291<BR><BR> E-Mail :
stevan.gressitt@maine.gov<BR><BR> <A
href="http://www.maine.gov/dhhs/mh/">http://www.maine.gov/dhhs/mh/</A><BR><BR> <BR><BR>
Confidentiality Notice: 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 this
message.<BR><BR> 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). <BR><BR> <BR><BR>
REDBRIDGE: Warning over bogus medicine collections <<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">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</A>><BR>
Guardian Series<BR> People with any
concerns or questions on the scam or on the disposal of medicines should speak
to their GP or local pharmacist.
...<BR><BR> <BR>
See all stories on this topic <<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">http://news.google.com/news/story?ncl=http://www.guardian-series.co.uk/news/5074038.REDBRIDGE__Warning_over_bogus_medicine_collections/&hl=en</A>> <BR><BR>
<BR><BR> <BR> <BR> <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 :
stevan.gressitt@maine.gov<BR><BR></P></ZZZBODY></ZZZHTML></BLOCKQUOTE></BODY></HTML>