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<div class=Section1>
<p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";
color:#1F497D'>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-size:11.0pt;font-family:"Calibri","sans-serif";
color:#1F497D'><o:p> </o:p></span></p>
<p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";
color:#1F497D'>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>
<p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";
color:#1F497D'><o:p> </o:p></span></p>
<p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";
color:#1F497D'>Thanks for sharing.<o:p></o:p></span></p>
<p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";
color:#1F497D'><o:p> </o:p></span></p>
<p class=MsoNormal><span style='font-size:10.0pt;font-family:"Calibri","sans-serif";
color:black'>Jeff Hollar</span><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";
color:#1F497D'><o:p></o:p></span></p>
<p class=MsoNormal><span style='font-size:10.0pt;font-family:"Calibri","sans-serif";
color:black'>President</span><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";
color:#1F497D'><o:p></o:p></span></p>
<p class=MsoNormal><b><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";
color:blue'>PharmWaste Technologies, Inc.</span></b><span style='font-size:
11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'><o:p></o:p></span></p>
<p class=MsoNormal><span style='font-size:10.0pt;font-family:"Calibri","sans-serif";
color:black'>(P) 515-276-5302 Ext. 316</span><span style='font-size:11.0pt;
font-family:"Calibri","sans-serif";color:#1F497D'><o:p></o:p></span></p>
<p class=MsoNormal><span style='font-size:10.0pt;font-family:"Calibri","sans-serif";
color:black'>(E) <a href="mailto:Jhollar@Pwaste.com">Jhollar@Pwaste.com</a><o:p></o:p></span></p>
<p class=MsoNormal><span style='font-size:10.0pt;font-family:"Calibri","sans-serif";
color:black'>(W) www.pwaste.com<o:p></o:p></span></p>
<p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";
color:#1F497D'><o:p> </o:p></span></p>
<div>
<div style='border:none;border-top:solid #B5C4DF 1.0pt;padding:3.0pt 0in 0in 0in'>
<p class=MsoNormal><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"'> 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>
<p class=MsoNormal><o:p> </o:p></p>
<p class=MsoNormal><span style='font-size:10.0pt;font-family:"Arial","sans-serif";
color:navy'>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>
<p class=MsoNormal><span style='font-size:10.0pt;font-family:"Arial","sans-serif";
color:navy'><o:p> </o:p></span></p>
<p class=MsoNormal><span style='font-size:10.0pt;font-family:"Arial","sans-serif";
color:navy'>Where are they getting these? <o:p></o:p></span></p>
<p class=MsoNormal><span style='font-size:10.0pt;font-family:"Arial","sans-serif";
color:navy'><o:p> </o:p></span></p>
<div>
<p class=MsoNormal><span style='font-size:10.0pt;font-family:"Arial","sans-serif";
color:navy'>Sue Dayton</span><span style='color:navy'><o:p></o:p></span></p>
<p class=MsoNormal><span style='font-size:10.0pt;font-family:"Arial","sans-serif";
color:navy'>Blue Ridge Environmental Defense League</span><span
style='color:navy'><o:p></o:p></span></p>
<p class=MsoNormal><span style='font-size:10.0pt;font-family:"Arial","sans-serif";
color:navy'>North Carolina Healthy Communities Program</span><span
style='color:navy'><o:p></o:p></span></p>
<p class=MsoNormal><span style='font-size:10.0pt;font-family:"Arial","sans-serif";
color:navy'>PO BOX 44</span><span style='color:navy'><o:p></o:p></span></p>
<p class=MsoNormal><span style='font-size:10.0pt;font-family:"Arial","sans-serif";
color:navy'>Saxapahaw, NC 27340</span><span style='color:navy'><o:p></o:p></span></p>
<p class=MsoNormal><span style='font-size:10.0pt;font-family:"Arial","sans-serif";
color:navy'>(336) 525-2003</span><span style='color:navy'><o:p></o:p></span></p>
<p class=MsoNormal><span style='font-size:10.0pt;font-family:"Arial","sans-serif";
color:navy'><a href="mailto:sdayton@swcp.com">sdayton@swcp.com</a></span><span
style='color:navy'><o:p></o:p></span></p>
<p class=MsoNormal><span style='color:navy'> <o:p></o:p></span></p>
<p class=MsoNormal><span style='color:navy'> <o:p></o:p></span></p>
<p class=MsoNormal><span style='color:navy'> <o:p></o:p></span></p>
<div>
<p class=MsoNormal style='mso-margin-top-alt:auto;mso-margin-bottom-alt:auto'><em><span
style='font-size:10.0pt;font-family:"Palatino Linotype","serif";color:navy'>Our
lives begin to end the day we become silent about things that
matter. - Martin Luther King Jr.</span></em><em><span
style='font-size:10.0pt;font-family:"Palatino Linotype","serif"'><o:p></o:p></span></em></p>
<p class=MsoNormal style='mso-margin-top-alt:auto;mso-margin-bottom-alt:auto'><span
style='font-family:"Arial","sans-serif"'><o:p> </o:p></span></p>
</div>
<p class=MsoNormal><span style='color:navy'> <o:p></o:p></span></p>
<p class=MsoNormal><span style='color:navy'> </span><o:p></o:p></p>
</div>
<div>
<div class=MsoNormal align=center style='text-align:center'>
<hr size=2 width="100%" align=center>
</div>
<p class=MsoNormal><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"'>
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>
<p class=MsoNormal><o:p> </o:p></p>
<p><span style='font-size:10.0pt;font-family:"Arial","sans-serif";color:black'>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-size:10.0pt;font-family:"Arial","sans-serif";color:black'> <o:p></o:p></span></p>
<p><span style='font-size:10.0pt;font-family:"Arial","sans-serif";color:black'>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>
<p><span style='font-size:10.0pt;font-family:"Arial","sans-serif";color:black'> <o:p></o:p></span></p>
<p><span style='font-size:10.0pt;font-family:"Arial","sans-serif";color:black'> <o:p></o:p></span></p>
<p><span style='font-size:10.0pt;font-family:"Arial","sans-serif";color:black'>Excerpt
from original story:<o:p></o:p></span></p>
<p><span style='font-size:10.0pt;font-family:"Arial","sans-serif";color:black'> <o:p></o:p></span></p>
<div>
<p class=MsoNormal><span style='font-size:10.0pt;font-family:"Arial","sans-serif";
color:black'>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>
<div>
<p class=MsoNormal><span style='font-size:10.0pt;font-family:"Arial","sans-serif";
color:black'>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>
<div>
<p class=MsoNormal><span style='font-size:10.0pt;font-family:"Arial","sans-serif";
color:black'> <o:p></o:p></span></p>
</div>
<div>
<p class=MsoNormal><span style='font-size:10.0pt;font-family:"Arial","sans-serif";
color:black'> <o:p></o:p></span></p>
</div>
<div>
<p class=MsoNormal><span style='font-size:10.0pt;font-family:"Arial","sans-serif";
color:black'> <o:p></o:p></span></p>
</div>
<div>
<p class=MsoNormal><span style='font-size:10.0pt;font-family:"Arial","sans-serif";
color:black'> <o:p></o:p></span></p>
</div>
<div>
<p class=MsoNormal><span style='font-size:10.0pt;font-family:"Arial","sans-serif";
color:black'> <o:p></o:p></span></p>
</div>
<div>
<p class=MsoNormal><span style='font-size:10.0pt;font-family:"Arial","sans-serif";
color:black'>Matthew C. Mireles, PhD, MPH<o:p></o:p></span></p>
</div>
<div>
<p class=MsoNormal><span style='font-size:10.0pt;font-family:"Arial","sans-serif";
color:black'>Community Medical Foundation for Patient Safety<o:p></o:p></span></p>
</div>
</div>
<p><span style='font-size:10.0pt;font-family:"Arial","sans-serif";color:black'> <o:p></o:p></span></p>
<p><span style='font-size:10.0pt;font-family:"Arial","sans-serif";color:black'> <o:p></o:p></span></p>
<p><span style='font-size:10.0pt;font-family:"Arial","sans-serif";color:black'> <o:p></o:p></span></p>
<p><span style='font-size:10.0pt;font-family:"Arial","sans-serif";color:black'><br>
<br>
<br>
<o:p></o:p></span></p>
<blockquote style='border:none;border-left:solid blue 1.5pt;padding:0in 0in 0in 4.0pt;
margin-left:0in;margin-top:5.0pt;margin-bottom:5.0pt'>
<p class=MsoNormal style='margin-bottom:12.0pt'><span style='font-size:10.0pt;
font-family:"Arial","sans-serif";color:black'>-----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-size:10.0pt;font-family:"Arial","sans-serif";
color:navy'>I would be interested if anyone runs into any other examples of
this.</span><span style='color:black'><o:p></o:p></span></p>
<p class=MsoNormal><span style='font-size:10.0pt;font-family:"Arial","sans-serif";
color:navy'> </span><span style='color:black'><o:p></o:p></span></p>
<div>
<p class=MsoNormal style='margin-left:.5in'><span style='font-size:10.0pt;
font-family:"Goudy Old Style","serif";color:#993366'>Stevan Gressitt, M.D.,
Medical Director</span><span style='color:black'><o:p></o:p></span></p>
<p class=MsoNormal style='margin-left:.5in'><span style='font-size:10.0pt;
font-family:"Goudy Old Style","serif";color:#993366'>Office of Adult Mental
Health Services</span><span style='color:black'><o:p></o:p></span></p>
<p class=MsoNormal style='margin-left:.5in'><span style='font-size:10.0pt;
font-family:"Goudy Old Style","serif";color:#993366'>Department of Health and
Human Services</span><span style='color:black'><o:p></o:p></span></p>
<p class=MsoNormal style='margin-left:.5in'><span style='font-size:10.0pt;
font-family:"Goudy Old Style","serif";color:#993366'>Marquardt Building, 2nd
Floor</span><span style='color:black'><o:p></o:p></span></p>
<p class=MsoNormal style='margin-left:.5in'><span style='font-size:10.0pt;
font-family:"Goudy Old Style","serif";color:#993366'>11 State House Station</span><span
style='color:black'><o:p></o:p></span></p>
<p class=MsoNormal style='margin-left:.5in'><span style='font-size:10.0pt;
font-family:"Goudy Old Style","serif";color:#993366'>32 Blossom Lane</span><span
style='color:black'><o:p></o:p></span></p>
<p class=MsoNormal style='margin-left:.5in'><span style='font-size:10.0pt;
font-family:"Goudy Old Style","serif";color:#993366'>Augusta, ME 04333-0011</span><span
style='color:black'><o:p></o:p></span></p>
<p class=MsoNormal style='margin-left:.5in'><span style='font-size:10.0pt;
font-family:"Goudy Old Style","serif";color:#993366'>Ph: (207)287-4273</span><span
style='color:black'><o:p></o:p></span></p>
<p class=MsoNormal style='margin-left:.5in'><span style='font-size:10.0pt;
font-family:"Goudy Old Style","serif";color:#993366'>Fax: (207)287-1022</span><span
style='color:black'><o:p></o:p></span></p>
<p class=MsoNormal style='margin-left:.5in'><span style='font-size:10.0pt;
font-family:"Goudy Old Style","serif";color:#993366'>Cell Phone: (207) 441-0291</span><span
style='color:black'><o:p></o:p></span></p>
<p class=MsoNormal style='margin-left:.5in'><span style='font-size:10.0pt;
font-family:"Goudy Old Style","serif";color:#993366'>E-Mail : <a
href="mailto:stevan.gressitt@maine.gov" target="_blank"
title="mailto:stevan.gressitt@maine.gov">stevan.gressitt@maine.gov</a></span><span
style='color:black'><o:p></o:p></span></p>
<p class=MsoNormal style='margin-left:.5in'><u><span style='font-size:9.0pt;
font-family:"Goudy Old Style","serif";color:blue'><a
href="http://www.maine.gov/dhhs/mh/" target="_blank">http://www.maine.gov/dhhs/mh/</a></span></u><span
style='color:black'><o:p></o:p></span></p>
<p class=MsoNormal style='margin-left:.5in'><span style='color:navy'> </span><span
style='color:black'><o:p></o:p></span></p>
<p class=MsoNormal style='margin-left:.5in;text-align:justify'><em><b><span
style='font-size:8.0pt;font-family:"Goudy Old Style","serif";color:black'>Confidentiality
Notice</span></b></em><span style='font-size:8.0pt;font-family:"Goudy Old Style","serif";
color:black'>: 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-size:8.0pt;
font-family:"Goudy Old Style","serif";color:blue'>.</span><span
style='color:black'><o:p></o:p></span></p>
<p class=MsoNormal style='margin-left:.5in;text-align:justify'><span
style='font-size:8.0pt;font-family:"Goudy Old Style","serif";color:black'>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>
<p class=MsoNormal style='margin-left:.5in'><span style='color:navy'> </span><span
style='color:black'><o:p></o:p></span></p>
</div>
<div>
<div>
<div>
<table class=MsoNormalTable border=0 cellspacing=0 cellpadding=0 width=600
style='width:6.25in'>
<tr style='height:80.1pt'>
<td style='padding:0in 0in 12.0pt 0in;height:80.1pt'>
<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='font-size:10.0pt;color:#666666'>Guardian Series</span><span
style='font-size:10.0pt;color:black'><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>
<div>
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<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>
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-- <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>
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