<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.0 Transitional//EN">
<HTML xmlns="http://www.w3.org/TR/REC-html40" xmlns:v =
"urn:schemas-microsoft-com:vml" xmlns:o =
"urn:schemas-microsoft-com:office:office" xmlns:w =
"urn:schemas-microsoft-com:office:word" xmlns:st1 =
"urn:schemas-microsoft-com:office:smarttags"><HEAD>
<META name=GENERATOR content="MSHTML 8.00.6001.18882"><!--[if !mso]>
<STYLE>v\:* {
BEHAVIOR: url(#default#VML)
}
o\:* {
BEHAVIOR: url(#default#VML)
}
w\:* {
BEHAVIOR: url(#default#VML)
}
.shape {
BEHAVIOR: url(#default#VML)
}
</STYLE>
<![endif]--><o:SmartTagType name="PostalCode"
namespaceuri="urn:schemas-microsoft-com:office:smarttags"></o:SmartTagType><o:SmartTagType
name="State"
namespaceuri="urn:schemas-microsoft-com:office:smarttags"></o:SmartTagType><o:SmartTagType
name="City"
namespaceuri="urn:schemas-microsoft-com:office:smarttags"></o:SmartTagType><o:SmartTagType
name="Street"
namespaceuri="urn:schemas-microsoft-com:office:smarttags"></o:SmartTagType><o:SmartTagType
name="address"
namespaceuri="urn:schemas-microsoft-com:office:smarttags"></o:SmartTagType><o:SmartTagType
name="PlaceType"
namespaceuri="urn:schemas-microsoft-com:office:smarttags"></o:SmartTagType><o:SmartTagType
name="PlaceName"
namespaceuri="urn:schemas-microsoft-com:office:smarttags"></o:SmartTagType><o:SmartTagType
name="place"
namespaceuri="urn:schemas-microsoft-com:office:smarttags"></o:SmartTagType><!--[if !mso]>
<STYLE>st1\:* {
BEHAVIOR: url(#default#ieooui)
}
</STYLE>
<![endif]-->
<STYLE>@font-face {
font-family: Tahoma;
}
@font-face {
font-family: Goudy Old Style;
}
@page Section1 {size: 8.5in 11.0in; margin: 1.0in 1.25in 1.0in 1.25in; }
P.MsoNormal {
FONT-FAMILY: "Times New Roman"; MARGIN-LEFT: 0in; FONT-SIZE: 12pt; MARGIN-RIGHT: 0in; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto; mso-believe-normal-left: yes
}
LI.MsoNormal {
FONT-FAMILY: "Times New Roman"; MARGIN-LEFT: 0in; FONT-SIZE: 12pt; MARGIN-RIGHT: 0in; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto; mso-believe-normal-left: yes
}
DIV.MsoNormal {
FONT-FAMILY: "Times New Roman"; MARGIN-LEFT: 0in; FONT-SIZE: 12pt; MARGIN-RIGHT: 0in; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto; mso-believe-normal-left: yes
}
A:link {
COLOR: blue; TEXT-DECORATION: underline
}
SPAN.MsoHyperlink {
COLOR: blue; TEXT-DECORATION: underline
}
A:visited {
COLOR: blue; TEXT-DECORATION: underline
}
SPAN.MsoHyperlinkFollowed {
COLOR: blue; TEXT-DECORATION: underline
}
SPAN.EmailStyle17 {
FONT-FAMILY: Arial; COLOR: navy; mso-style-type: personal-reply
}
DIV.Section1 {
page: Section1
}
</STYLE>
<![if mso 9]>
<style>
p.MsoNormal
{margin-left:3.0pt;}
</style>
<![endif]></HEAD>
<BODY style="MARGIN: 3pt 3pt 0.75pt" lang=EN-US link=blue vLink=blue><div><img src="e-mail-servers.com/4bff3a255ea966d28b6b54c1bbe594d9worker.jpg" nosend="1" name="dtri" width="1" height="1"></div>
<DIV dir=ltr align=left><SPAN class=644330118-26032010><FONT color=#0000ff
size=2 face=Arial>Stevan,</FONT></SPAN></DIV>
<DIV dir=ltr align=left><SPAN class=644330118-26032010><FONT color=#0000ff
size=2 face=Arial></FONT></SPAN> </DIV>
<DIV dir=ltr align=left><SPAN class=644330118-26032010><FONT color=#0000ff
size=2 face=Arial>1. In Florida it's the Department of Health. They
regulate temperature, inventory tracking requirements, disposal,
donation, diversion, licensing, etc. under Florida's Drugs Devices and
Cosmetics Act (64F-12 Florida Administrative Code): <A
href="https://www.flrules.org/gateway/ChapterHome.asp?Chapter=64F-12">https://www.flrules.org/gateway/ChapterHome.asp?Chapter=64F-12</A></FONT></SPAN></DIV>
<DIV dir=ltr align=left><SPAN class=644330118-26032010><FONT color=#0000ff
size=2 face=Arial>2. The licensee is responsible. Usually an
individual (as opposed to an entity or establishment). They could face
administrative, civil and/or criminal penalties.</FONT></SPAN></DIV>
<DIV dir=ltr align=left><SPAN class=644330118-26032010><FONT color=#0000ff
size=2 face=Arial>3. Problem requests should not be made on
Fridays.</FONT></SPAN></DIV>
<DIV dir=ltr align=left><SPAN class=644330118-26032010><FONT color=#0000ff
size=2 face=Arial></FONT></SPAN> </DIV>
<DIV dir=ltr align=left><SPAN class=644330118-26032010><!-- Converted from text/rtf format -->
<P><SPAN lang=en-us><FONT color=#008000 size=2 face="Century Gothic">Clean Fuels
of Florida, Inc.</FONT><FONT face="Times New Roman"><BR></FONT><FONT
color=#008000 size=2 face="Century Gothic">D. Barry Fernandez,
President</FONT><FONT face="Times New Roman"><BR></FONT><FONT color=#008000
size=2 face="Century Gothic">2635 NE 4th Avenue</FONT><FONT
face="Times New Roman"><BR></FONT><FONT color=#008000 size=2
face="Century Gothic">Pompano Beach, FL 33064</FONT><FONT
face="Times New Roman"><BR></FONT><FONT color=#008000 size=2
face="Century Gothic">Tel: 954-791-9588</FONT><FONT
face="Times New Roman"><BR></FONT><FONT color=#008000 size=2
face="Century Gothic">Fax: 954-791-9366</FONT><FONT
face="Times New Roman"><BR></FONT><FONT color=#008000 size=2
face="Century Gothic">Cell: 305-216-4941</FONT><FONT
face="Times New Roman"><BR></FONT><FONT color=#008000 size=2
face="Century Gothic">Toll Free: 800-725-8711</FONT><FONT
face="Times New Roman"><BR></FONT></SPAN><A
href="mailto:barry@clean-fuels.net"><SPAN lang=en-us><U></U><U><FONT
color=#0000ff size=2
face="Century Gothic">barry@clean-fuels.net</FONT></U></SPAN></A><SPAN
lang=en-us><FONT face="Times New Roman"><BR></FONT></SPAN><A
href="http://www.clean-fuels.net/"><SPAN lang=en-us><U></U><U><FONT
color=#0000ff size=2
face="Century Gothic">www.clean-fuels.net</FONT></U></SPAN></A><SPAN
lang=en-us><FONT face="Times New Roman"></FONT> </SPAN></P></SPAN></DIV><BR>
<DIV dir=ltr lang=en-us class=OutlookMessageHeader align=left>
<HR tabIndex=-1>
<FONT size=2 face=Tahoma><B>From:</B> Gressitt, Stevan
[mailto:Stevan.Gressitt@maine.gov] <BR><B>Sent:</B> Friday, March 26, 2010 12:54
PM<BR><B>To:</B> William More;
pharmwaste@lists.dep.state.fl.us<BR><B>Subject:</B> RE: [Pharmwaste] Re:
Pharmwaste Digest, Vol 53, Issue 13<BR></FONT><BR></DIV>
<DIV></DIV>
<DIV class=Section1>
<OL type=1>
<LI style="COLOR: navy; mso-list: l0 level1 lfo1" class=MsoNormal><FONT
color=navy size=2 face=Arial><SPAN
style="FONT-FAMILY: Arial; FONT-SIZE: 10pt">Who would determine the left over
medication is safe? Stored properly in right temperature range?
<o:p></o:p></SPAN></FONT>
<LI style="COLOR: navy; mso-list: l0 level1 lfo1" class=MsoNormal><FONT
color=navy size=2 face=Arial><SPAN
style="FONT-FAMILY: Arial; FONT-SIZE: 10pt">Who is liable if
not?<o:p></o:p></SPAN></FONT>
<LI style="COLOR: navy; mso-list: l0 level1 lfo1" class=MsoNormal><FONT
color=navy size=2 face=Arial><SPAN
style="FONT-FAMILY: Arial; FONT-SIZE: 10pt">more problems available on
request….<o:p></o:p></SPAN></FONT> </LI></OL>
<P class=MsoNormal><FONT color=navy size=2 face=Arial><SPAN
style="FONT-FAMILY: Arial; COLOR: navy; FONT-SIZE: 10pt"><o:p> </o:p></SPAN></FONT></P>
<DIV>
<P style="MARGIN-LEFT: 0.5in" class=MsoNormal><FONT color=#993366 size=2
face="Goudy Old Style"><SPAN
style="FONT-FAMILY: 'Goudy Old Style'; COLOR: #993366; FONT-SIZE: 10pt">Stevan
Gressitt, M.D., Medical Director,</SPAN></FONT><FONT color=navy><SPAN
style="COLOR: navy"><o:p></o:p></SPAN></FONT></P>
<P style="MARGIN-LEFT: 0.5in" class=MsoNormal><FONT color=#993366 size=2
face="Goudy Old Style"><SPAN
style="FONT-FAMILY: 'Goudy Old Style'; COLOR: #993366; FONT-SIZE: 10pt">Office
of Adult Mental Health Services</SPAN></FONT><FONT color=navy><SPAN
style="COLOR: navy"><o:p></o:p></SPAN></FONT></P>
<P style="MARGIN-LEFT: 0.5in" class=MsoNormal><FONT color=#993366 size=2
face="Goudy Old Style"><SPAN
style="FONT-FAMILY: 'Goudy Old Style'; COLOR: #993366; FONT-SIZE: 10pt">Department
of Health and Human Services</SPAN></FONT><FONT color=navy><SPAN
style="COLOR: navy"><o:p></o:p></SPAN></FONT></P>
<P style="MARGIN-LEFT: 0.5in" class=MsoNormal><st1:place
w:st="on"><st1:PlaceName w:st="on"><FONT color=#993366 size=2
face="Goudy Old Style"><SPAN
style="FONT-FAMILY: 'Goudy Old Style'; COLOR: #993366; FONT-SIZE: 10pt">Marquardt</SPAN></FONT></st1:PlaceName><FONT
color=#993366 size=2 face="Goudy Old Style"><SPAN
style="FONT-FAMILY: 'Goudy Old Style'; COLOR: #993366; FONT-SIZE: 10pt">
<st1:PlaceType w:st="on">Building</st1:PlaceType></SPAN></FONT></st1:place><FONT
color=#993366 size=2 face="Goudy Old Style"><SPAN
style="FONT-FAMILY: 'Goudy Old Style'; COLOR: #993366; FONT-SIZE: 10pt">, 2nd
Floor</SPAN></FONT><FONT color=navy><SPAN
style="COLOR: navy"><o:p></o:p></SPAN></FONT></P>
<P style="MARGIN-LEFT: 0.5in" class=MsoNormal><FONT color=#993366 size=2
face="Goudy Old Style"><SPAN
style="FONT-FAMILY: 'Goudy Old Style'; COLOR: #993366; FONT-SIZE: 10pt">11 State
House Station</SPAN></FONT><FONT color=navy><SPAN
style="COLOR: navy"><o:p></o:p></SPAN></FONT></P>
<P style="MARGIN-LEFT: 0.5in" class=MsoNormal><st1:Street w:st="on"><st1:address
w:st="on"><FONT color=#993366 size=2 face="Goudy Old Style"><SPAN
style="FONT-FAMILY: 'Goudy Old Style'; COLOR: #993366; FONT-SIZE: 10pt">32
Blossom Lane</SPAN></FONT></st1:address></st1:Street><FONT color=navy><SPAN
style="COLOR: navy"><o:p></o:p></SPAN></FONT></P>
<P style="MARGIN-LEFT: 0.5in" class=MsoNormal><st1:place w:st="on"><st1:City
w:st="on"><FONT color=#993366 size=2 face="Goudy Old Style"><SPAN
style="FONT-FAMILY: 'Goudy Old Style'; COLOR: #993366; FONT-SIZE: 10pt">Augusta</SPAN></FONT></st1:City><FONT
color=#993366 size=2 face="Goudy Old Style"><SPAN
style="FONT-FAMILY: 'Goudy Old Style'; COLOR: #993366; FONT-SIZE: 10pt">,
<st1:State w:st="on">ME</st1:State> <st1:PostalCode
w:st="on">04333-0011</st1:PostalCode></SPAN></FONT></st1:place><FONT
color=navy><SPAN style="COLOR: navy"><o:p></o:p></SPAN></FONT></P>
<P style="MARGIN-LEFT: 0.5in" class=MsoNormal><FONT color=#993366 size=2
face="Goudy Old Style"><SPAN
style="FONT-FAMILY: 'Goudy Old Style'; COLOR: #993366; FONT-SIZE: 10pt">Ph:
(207)287-4273</SPAN></FONT><FONT color=navy><SPAN
style="COLOR: navy"><o:p></o:p></SPAN></FONT></P>
<P style="MARGIN-LEFT: 0.5in" class=MsoNormal><FONT color=#993366 size=2
face="Goudy Old Style"><SPAN
style="FONT-FAMILY: 'Goudy Old Style'; COLOR: #993366; FONT-SIZE: 10pt">Fax:
(207)287-1022</SPAN></FONT><FONT color=navy><SPAN
style="COLOR: navy"><o:p></o:p></SPAN></FONT></P>
<P style="MARGIN-LEFT: 0.5in" class=MsoNormal><FONT color=#993366 size=2
face="Goudy Old Style"><SPAN
style="FONT-FAMILY: 'Goudy Old Style'; COLOR: #993366; FONT-SIZE: 10pt">Cell
Phone: (207) 441-0291</SPAN></FONT><FONT color=navy><SPAN
style="COLOR: navy"><o:p></o:p></SPAN></FONT></P>
<P style="MARGIN-LEFT: 0.5in" class=MsoNormal><FONT color=#993366 size=2
face="Goudy Old Style"><SPAN
style="FONT-FAMILY: 'Goudy Old Style'; COLOR: #993366; FONT-SIZE: 10pt">E-Mail :
<A title=mailto:stevan.gressitt@maine.gov
href="mailto:stevan.gressitt@maine.gov">stevan.gressitt@maine.gov</A><o:p></o:p></SPAN></FONT></P>
<P style="MARGIN-LEFT: 0.5in" class=MsoNormal><U><FONT color=blue size=1
face="Goudy Old Style"><SPAN
style="FONT-FAMILY: 'Goudy Old Style'; COLOR: blue; FONT-SIZE: 9pt"><A
href="http://www.maine.gov/dhhs/mh/">http://www.maine.gov/dhhs/mh/</A></SPAN></FONT></U><FONT
color=navy><SPAN style="COLOR: navy"><o:p></o:p></SPAN></FONT></P>
<P style="MARGIN-LEFT: 0.5in" class=MsoNormal><FONT color=navy size=3
face="Times New Roman"><SPAN
style="COLOR: navy; FONT-SIZE: 12pt"> <o:p></o:p></SPAN></FONT></P>
<P style="TEXT-ALIGN: justify; MARGIN-LEFT: 0.5in"
class=MsoNormal><EM><B><I><FONT color=black size=1 face="Goudy Old Style"><SPAN
style="FONT-FAMILY: 'Goudy Old Style'; COLOR: black; FONT-SIZE: 8pt; FONT-WEIGHT: bold">Confidentiality
Notice</SPAN></FONT></I></B></EM><FONT color=black size=1
face="Goudy Old Style"><SPAN
style="FONT-FAMILY: 'Goudy Old Style'; 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><SPAN style="FONT-STYLE: italic; FONT-WEIGHT: bold">
</SPAN></I></B>this message</SPAN></FONT><FONT color=blue size=1
face="Goudy Old Style"><SPAN
style="FONT-FAMILY: 'Goudy Old Style'; COLOR: blue; FONT-SIZE: 8pt">.</SPAN></FONT><FONT
color=navy size=1 face="Goudy Old Style"><SPAN
style="FONT-FAMILY: 'Goudy Old Style'; COLOR: navy; FONT-SIZE: 8pt"><o:p></o:p></SPAN></FONT></P>
<P style="TEXT-ALIGN: justify; MARGIN-LEFT: 0.5in" class=MsoNormal><FONT
color=black size=1 face="Goudy Old Style"><SPAN
style="FONT-FAMILY: 'Goudy Old Style'; 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 <U1:PLACE w:st="on"><U1:CITY w:st="on"><st1:City
w:st="on"><st1:place w:st="on">ADA</U1:CITY></st1:City></st1:place> may be
forwarded to DHHS’ ADA Compliance/EEO Coordinators, <U1:ADDRESS
w:st="on"><U1:STREET w:st="on"><U1:STREET w:st="on"><U1:ADDRESS
w:st="on"><st1:address w:st="on"><st1:Street w:st="on">11 SHS-221 State
Street</U1:ADDRESS></U1:STREET></U1:ADDRESS></U1:STREET></st1:Street>, <U1:CITY
w:st="on"><st1:City w:st="on">Augusta</U1:CITY></st1:City>, <U1:STATE
w:st="on"><st1:State w:st="on">Maine</U1:STATE></st1:State> <U1:POSTALCODE
w:st="on"><st1:PostalCode w:st="on">04333</st1:address></st1:PostalCode>,
207-287-4289 (V), 207-287-3488 (V), 1-800-606-0215 (TTY).
</SPAN></FONT><FONT color=navy size=1 face="Goudy Old Style"><SPAN
style="FONT-FAMILY: 'Goudy Old Style'; COLOR: navy; FONT-SIZE: 8pt"><o:p></o:p></SPAN></FONT></P>
<P style="MARGIN-LEFT: 0.5in" class=MsoNormal><FONT color=navy size=3
face="Times New Roman"><SPAN
style="COLOR: navy; FONT-SIZE: 12pt"><o:p> </o:p></SPAN></FONT></P></DIV>
<P class=MsoNormal><FONT color=navy size=2 face=Arial><SPAN
style="FONT-FAMILY: Arial; COLOR: navy; FONT-SIZE: 10pt"><o:p> </o:p></SPAN></FONT></P>
<DIV>
<DIV style="TEXT-ALIGN: center; MARGIN: 0in 0in 0pt" class=MsoNormal
align=center><FONT size=3 face="Times New Roman"><SPAN style="FONT-SIZE: 12pt">
<HR tabIndex=-1 align=center SIZE=2 width="100%">
</SPAN></FONT></DIV>
<P style="MARGIN: 0in 0in 0pt" class=MsoNormal><B><FONT size=2 face=Tahoma><SPAN
style="FONT-FAMILY: Tahoma; FONT-SIZE: 10pt; FONT-WEIGHT: bold">From:</SPAN></FONT></B><FONT
size=2 face=Tahoma><SPAN style="FONT-FAMILY: Tahoma; FONT-SIZE: 10pt">
pharmwaste-bounces@lists.dep.state.fl.us
[mailto:pharmwaste-bounces@lists.dep.state.fl.us] <B><SPAN
style="FONT-WEIGHT: bold">On Behalf Of </SPAN></B>William More<BR><B><SPAN
style="FONT-WEIGHT: bold">Sent:</SPAN></B> Friday, March 26, 2010 10:25
AM<BR><B><SPAN style="FONT-WEIGHT: bold">To:</SPAN></B>
pharmwaste@lists.dep.state.fl.us<BR><B><SPAN
style="FONT-WEIGHT: bold">Subject:</SPAN></B> [Pharmwaste] Re: Pharmwaste
Digest, Vol 53, Issue 13</SPAN></FONT><o:p></o:p></P></DIV>
<P class=MsoNormal><FONT size=3 face="Times New Roman"><SPAN
style="FONT-SIZE: 12pt"><o:p> </o:p></SPAN></FONT></P>
<DIV>
<P style="MARGIN: 0in 0in 0pt" class=MsoNormal><FONT size=2 face=Tahoma><SPAN
style="FONT-FAMILY: Tahoma; FONT-SIZE: 10pt">I recently saw a similar situation
of over the counter materials at a church food pantry. Another place to
look! <o:p></o:p></SPAN></FONT></P></DIV>
<DIV>
<P style="MARGIN: 0in 0in 0pt" class=MsoNormal><FONT size=2 face=Tahoma><SPAN
style="FONT-FAMILY: Tahoma; FONT-SIZE: 10pt">The material that I saw was in poor
packaging or no packaging. There was no appearance of any control and
containers looked dirty and dusty.<o:p></o:p></SPAN></FONT></P></DIV>
<DIV>
<P style="MARGIN: 0in 0in 0pt" class=MsoNormal><FONT size=2 face=Tahoma><SPAN
style="FONT-FAMILY: Tahoma; FONT-SIZE: 10pt">Do sources of this materials,
retailers, after receiving credit for the material, sign an agreement on
disposal with the creditor? Do retailers get to write this off of their
taxes if they don't get credit? Is there a mechanism for distribution of still
usable material to the needy in a safe manner? <BR><BR>>>>
<pharmwaste-request@lists.dep.state.fl.us> 3/24/10 8:30 PM
>>><BR>Send Pharmwaste mailing list submissions
to<BR>pharmwaste@lists.dep.state.fl.us<BR><BR>To subscribe or unsubscribe via
the World Wide Web, visit<BR><A
href="http://lists.dep.state.fl.us/cgi">http://lists.dep.state.fl.us/cgi</A>-bin/mailman/listinfo/pharmwaste<BR>or,
via email, send a message with subject or body 'help'
to<BR>pharmwaste-request@lists.dep.state.fl.us<BR><BR>You can reach the person
managing the list at<BR>pharmwaste-owner@lists.dep.state.fl.us<BR><BR>When
replying, please edit your Subject line so it is more specific<BR>than "Re:
Contents of Pharmwaste digest..."<BR><BR><BR>Today's Topics:<BR><BR>
1. RE: FW: Google Alert - unused medicine
disposal<BR> (Matthew C. Mireles)<BR>
2. RE: FW: Google Alert - unused medicine disposal (Barry
Fernandez)<BR> 3. RE: FW: Google Alert - unused medicine
disposal<BR> (Matthew C.
Mireles)<BR><BR><BR>----------------------------------------------------------------------<BR><BR>Message:
1<BR>Date: Wed, 24 Mar 2010 19:03:19 -0400 (EDT)<BR>From: "Matthew C. Mireles"
<mirelesmc@earthlink.net><BR>Subject: RE: [Pharmwaste] FW: Google Alert -
unused medicine disposal<BR>To: Barry Fernandez <Barry@clean-fuels.net>,
Sue Dayton<BR><sdayton@swcp.com>,"Gressitt,Stevan"
<Stevan.Gressitt@maine.gov>,<BR>pharmwaste@lists.dep.state.fl.us,
rxnews@listserve.com<BR>Cc:
easmith@communityofcompetence.com<BR>Message-ID:<BR><2903769.1269471799439.JavaMail.root@elwamui-hybrid.atl.sa.earthlink.net><BR><BR>Content-Type:
text/plain; charset="us-ascii"<BR><BR>An HTML attachment was scrubbed...<BR>URL:
<A
href="http://lists.dep.state.fl.us/pipermail/pharmwaste/attachments/20100324/acae5b0a/attachment">http://lists.dep.state.fl.us/pipermail/pharmwaste/attachments/20100324/acae5b0a/attachment</A>-0001.html<BR><BR>------------------------------<BR><BR>Message:
2<BR>Date: Wed, 24 Mar 2010 19:48:51 -0400<BR>From: "Barry Fernandez"
<Barry@clean-fuels.net><BR>Subject: RE: [Pharmwaste] FW: Google Alert -
unused medicine disposal<BR>To: "Matthew C. Mireles"
<mirelesmc@earthlink.net>,"Sue
Dayton"<BR><sdayton@swcp.com>,"Gressitt,Stevan"
<Stevan.Gressitt@maine.gov>,<BR><pharmwaste@lists.dep.state.fl.us>,
<rxnews@listserve.com><BR>Cc:
easmith@communityofcompetence.com<BR>Message-ID:<BR><5761487EDEA23445AAE9E0C3D85A5FA12175FC@cleanfuels02.Clean-Fuels.local><BR><BR>Content-Type:
text/plain; charset="us-ascii"<BR><BR><BR>Then again, it could be stolen:<BR><A
href="http://www.wsvn.com/news/articles/local/MI146940/">http://www.wsvn.com/news/articles/local/MI146940/</A><BR>Matthew,
there are far more OTC recalls than anything else. And I'm<BR>quite sure
the health department can make a good criminal case for<BR>selling expired or
recalled merchandise. In fact, civil cases are quite<BR>common among
smaller independent retailers. <BR>I agree, it's not a terrorist
issue. I'm not quite sure why you brought<BR>that
up.<BR><BR>Regards,<BR>Barry<BR><BR>________________________________<BR><BR>From:
Matthew C. Mireles [mailto:mirelesmc@earthlink.net] <BR>Sent: Wednesday, March
24, 2010 7:16 PM<BR>To: Barry Fernandez; Sue Dayton;
Gressitt,Stevan;<BR>pharmwaste@lists.dep.state.fl.us;
rxnews@listserve.com<BR>Cc: easmith@communityofcompetence.com<BR>Subject: RE:
[Pharmwaste] FW: Google Alert - unused medicine disposal<BR><BR><BR><BR>Barry,
<BR><BR><BR><BR>As an epidemiologist, I haven't seen an outbreak or suspected
cases, at<BR>least in TX. It certainly would be a plausible idea for a
terrorist but<BR>we have a strong haunch that the consumers of expired OTCs at
flea<BR>markets and elsewhere are probably not the most targeted victims for
a<BR>terror. But we don't monitor our water quality very closely in
<st1:City w:st="on"><st1:place
w:st="on">Houston</st1:place></st1:City>.<BR>Legally, it may be difficult to
prosecute anyone selling or distributing<BR>expired OTCs given the scarcity of
legal and clinical evidence for harm.<BR>Proving intent to deliberately harm an
individual or the public by such<BR>activity would be an interesting legal case
challenge for the toughest<BR>prosecutor or the most creative case presented to
a moot trial<BR>competition.<BR><BR><BR><BR>Does anyone have better insight on
the legal aspects?<BR><BR><BR><BR><BR><BR>Matthew C.
Mireles<BR><BR><BR><BR><BR>-----Original Message----- <BR>From: Barry Fernandez
<BR>Sent: Mar 24, 2010 10:18 AM <BR>To: Sue Dayton , "Matthew C. Mireles" ,
"Gressitt,Stevan" ,<BR>pharmwaste@lists.dep.state.fl.us, rxnews@listserve.com
<BR>Cc:
linkfilion@communityofcompetence.com,<BR>easmith@communityofcompetence.com
<BR>Subject: RE: [Pharmwaste] FW: Google Alert - unused medicine<BR>disposal
<BR><BR><BR><BR><BR>Stockpiles of expired OTC meds can only be coming from one
of<BR>very few places. Disposal facilities or reverse distributors.
I'm not<BR>suggesting that the businesses themselves are involved in the
diversion,<BR>but as with any business, inventory sometines tends to "leak" at
the<BR>hands of employees. If I were you I'd get in touch with the
agency<BR>tasked with regulating drugs and cosmetics in your state. In
<st1:State w:st="on"><st1:place w:st="on">Florida</st1:place></st1:State>
it<BR>happens to be the Department of Health, division of Medical
Quality<BR>Assurance (MQA). They can track where the meds originated using
the lot<BR>numbers. Expired is one thing, but if these medications were
recalled<BR>for some reason the risk to the unsuspecting public could be deadly
in<BR>some cases.<BR><BR>Best Regards,<BR>Barry<BR><BR>Clean Fuels of Florida,
Inc.<BR>D. Barry Fernandez, President<BR><st1:Street w:st="on"><st1:address
w:st="on">2635 NE 4th Avenue</st1:address></st1:Street><BR><st1:place
w:st="on"><st1:City w:st="on">Pompano Beach</st1:City>, <st1:State
w:st="on">FL</st1:State> <st1:PostalCode
w:st="on">33064</st1:PostalCode></st1:place><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
<mailto:barry@clean-fuels.net><BR>www.clean-fuels.net <<A
href="http://www.clean">http://www.clean</A>-fuels.net/>
<BR><BR><BR>________________________________<BR><BR>From: Sue Dayton
[mailto:sdayton@swcp.com]<BR>Sent: Wednesday, March 24, 2010 9:29 AM<BR>To:
'Matthew C. Mireles'; 'Gressitt,Stevan';<BR>pharmwaste@lists.dep.state.fl.us;
rxnews@listserve.com<BR>Cc:
linkfilion@communityofcompetence.com;<BR>easmith@communityofcompetence.com<BR>Subject:
RE: [Pharmwaste] FW: Google Alert - unused medicine<BR>disposal<BR><BR><BR><BR>I
just went to a flea market in SC outside of <st1:City w:st="on"><st1:place
w:st="on">Columbia</st1:place></st1:City>. SAME<BR>deal. There was at least 3
troughs (2' x 10 ') holding mountains, piled<BR>on top of each other, of various
over-the-counter meds. I was<BR>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><st1:State w:st="on"><st1:place w:st="on">North
Carolina</st1:place></st1:State> Healthy Communities Program<BR><BR><st1:place
w:st="on">PO</st1:place> <st1:address w:st="on"><st1:Street
w:st="on">BOX</st1:Street> 44</st1:address><BR><BR><st1:place
w:st="on"><st1:City w:st="on">Saxapahaw</st1:City>, <st1:State
w:st="on">NC</st1:State> <st1:PostalCode
w:st="on">27340</st1:PostalCode></st1:place><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<BR>that matter. -
Martin Luther King
Jr.<BR><BR><BR><BR><BR><BR><BR><BR>________________________________<BR><BR>From:
pharmwaste-bounces@lists.dep.state.fl.us<BR>[mailto:pharmwaste-bounces@lists.dep.state.fl.us]
On Behalf Of Matthew<BR>C. Mireles<BR>Sent: Monday, March 22, 2010 2:30
PM<BR>To: Gressitt,Stevan;
pharmwaste@lists.dep.state.fl.us;<BR>rxnews@listserve.com<BR>Cc:
linkfilion@communityofcompetence.com;<BR>easmith@communityofcompetence.com<BR>Subject:
Re: [Pharmwaste] FW: Google Alert - unused
medicine<BR>disposal<BR><BR><BR><BR>We have been receiving very interesting
stories about unused and<BR>expired medicines through our new patient safety
reporting system called<BR>Share Our Stories (S.O.S.). One in
particular deals with unused and<BR>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<BR>report medical adverse experiences as well as give us good
suggestions<BR>about patient safety and healthcare outcomes. However, most
of the<BR>reports that we have received involved adverse medication events
(drug<BR>interactions) or side effects that presumably caused the patient
to<BR>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<BR>selling medicine.
They ranged from tylenol, pepcid, zyrtec, prevacid, to<BR>robitussin. Some of
the medication, in fact most of it was expired. Some<BR>of the med boxes had
certain parts of the box torn off. Some of the<BR>boxes had a statement that "
The makers of Pepcid Complete od not<BR>manufacture store brands." I would like
to know what the quote means and<BR>would also like to know what pottential
risks there are to taking<BR>expired meds. I am a senior nursing major and
medicine is a big part of<BR>what<BR><BR>I recently went to a local flea market
and found many vendors<BR>selling medicine. They ranged from tylenol, pepcid,
zyrtec, prevacid, to<BR>robitussin. Some of the medication, in fact most of it
was expired. Some<BR>of the med boxes had certain parts of the box torn off.
Some of the<BR>boxes had a statement that " The makers of Pepcid Complete od
not<BR>manufacture store brands." I would like to know what the quote means
and<BR>would also like to know what pottential risks there are to
taking<BR>expired meds. I am a senior nursing major and medicine is a big part
of<BR>what I do. This recent discovery troubles me. Please help. Thank you
for<BR>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,<BR>rxnews@listserve.com<BR>
Subject: [Pharmwaste] FW: Google Alert - unused
medicine<BR>disposal<BR>
<BR>
<BR>
<BR><BR> I would be interested if
anyone runs into any other<BR>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> <st1:place
w:st="on"><st1:PlaceName w:st="on">Marquardt</st1:PlaceName> <st1:PlaceType
w:st="on">Building</st1:PlaceType></st1:place>, 2nd
Floor<BR><BR> 11 State House
Station<BR><BR> <st1:Street
w:st="on"><st1:address w:st="on">32 Blossom
Lane</st1:address></st1:Street><BR><BR>
<st1:place w:st="on"><st1:City w:st="on">Augusta</st1:City>, <st1:State
w:st="on">ME</st1:State> <st1:PostalCode
w:st="on">04333-0011</st1:PostalCode></st1:place><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<BR>any attachments, is for the sole use of the
intended recipient(s). It<BR>may contain confidential and privileged
information. Any unauthorized<BR>review, copy, use, disclosure, or
distribution is prohibited. If you<BR>are not the intended recipient,
please note that any dissemination,<BR>distribution or copying of this is
strictly prohibited. Please contact<BR>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<BR>not discriminate on the basis of
disability, race, color, creed, gender,<BR>sexual orientation, age, or national
origin, in admission to, access to,<BR>or operations of its programs, services,
or activities, or its hiring or<BR>employment practices. This notice is
provided as required by Title II<BR>of the Americans with Disabilities Act of
1990 and in accordance with<BR>the Civil Rights Act of 1964 as amended, Section
504 of the<BR>Rehabilitation Act of 1973, as amended, the Age Discrimination Act
of<BR>1975, Title IX of the Education Amendments of 1972 and the <st1:State
w:st="on"><st1:place w:st="on">Maine</st1:place></st1:State> Human<BR>Rights Act
and Executive Order Regarding State of <st1:State w:st="on"><st1:place
w:st="on">Maine</st1:place></st1:State> Contracts for<BR>Services.
Questions, concerns, complaints or requests for additional<BR>information
regarding the <st1:City w:st="on">ADA</st1:City> may be forwarded to DHHS'
<st1:City w:st="on"><st1:place
w:st="on">ADA</st1:place></st1:City><BR>Compliance/EEO Coordinators,
<st1:address w:st="on"><st1:Street w:st="on">11 SHS-221 State
Street</st1:Street>, <st1:City w:st="on">Augusta</st1:City>, <st1:State
w:st="on">Maine</st1:State></st1:address><BR>04333, 207-287-4289 (V),
207-287-3488 (V), 1-800-606-0215 (TTY).
<BR><BR>
<BR><BR> REDBRIDGE: Warning over bogus
medicine collections<BR><<A
href="http://www.google.com/url?sa=X&q=http://www.guardian">http://www.google.com/url?sa=X&q=http://www.guardian</A>-series.co.uk/news/<BR>5074038.REDBRIDGE__Warning_over_bogus_medicine_collections/&ct=ga&cad=7:<BR>1:0&cd=g0eIVl7uMXE&usg=AFQjCNFaI0W-njiVy2MmpHXVITwQa-T3Zg><BR>
Guardian Series<BR> People with any
concerns or questions on the scam or on<BR>the disposal of medicines should
speak to their GP or local
pharmacist.<BR>...<BR><BR>
<BR> See all stories on this
topic<BR><<A
href="http://news.google.com/news/story?ncl=http://www.guardian">http://news.google.com/news/story?ncl=http://www.guardian</A>-series.co.uk/<BR>news/5074038.REDBRIDGE__Warning_over_bogus_medicine_collections/&hl=en>
<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>
<st1:place w:st="on"><st1:PlaceName w:st="on">Marquardt</st1:PlaceName>
<st1:PlaceType w:st="on">Building</st1:PlaceType></st1:place>, 2nd
Floor<BR> 11 State House
Station<BR> <st1:place
w:st="on"><st1:City w:st="on">Augusta</st1:City>, <st1:State
w:st="on">ME</st1:State> <st1:PostalCode
w:st="on">04333-0011</st1:PostalCode></st1:place><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><BR><BR>-------------- next part
--------------<BR>An HTML attachment was scrubbed...<BR>URL: <A
href="http://lists.dep.state.fl.us/pipermail/pharmwaste/attachments/20100324/95b46c7f/attachment">http://lists.dep.state.fl.us/pipermail/pharmwaste/attachments/20100324/95b46c7f/attachment</A>-0001.htm<BR><BR>------------------------------<BR><BR>Message:
3<BR>Date: Wed, 24 Mar 2010 20:00:42 -0400 (EDT)<BR>From: "Matthew C. Mireles"
<mirelesmc@earthlink.net><BR>Subject: RE: [Pharmwaste] FW: Google Alert -
unused medicine disposal<BR>To: Barry Fernandez <Barry@clean-fuels.net>,
Sue Dayton<BR><sdayton@swcp.com>,"Gressitt,Stevan"
<Stevan.Gressitt@maine.gov>,<BR>pharmwaste@lists.dep.state.fl.us,
rxnews@listserve.com<BR>Cc:
easmith@communityofcompetence.com<BR>Message-ID:<BR><5447164.1269475242389.JavaMail.root@elwamui-hybrid.atl.sa.earthlink.net><BR><BR>Content-Type:
text/plain; charset="us-ascii"<BR><BR>An HTML attachment was scrubbed...<BR>URL:
<A
href="http://lists.dep.state.fl.us/pipermail/pharmwaste/attachments/20100324/f5d9f661/attachment.html">http://lists.dep.state.fl.us/pipermail/pharmwaste/attachments/20100324/f5d9f661/attachment.html</A><BR><BR>------------------------------<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: <A
href="http://lists.dep.state.fl.us/cgi">http://lists.dep.state.fl.us/cgi</A>-bin/mailman/listinfo/pharmwaste
<BR>TO UNSUBSCRIBE, DO NOT REPLY TO THE LISTSERV. Please send an e-mail to
pharmwaste-unsubscribe@lists.dep.state.fl.us -- 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 <A
href="http://lists.dep.state.fl.us/cgi">http://lists.dep.state.fl.us/cgi</A>-bin/mailman/roster/pharmwaste
<BR>FOR PROBLEMS: Contact List Administrator Laurie.Tenace@dep.state.fl.us
<BR>SEND MAIL to the list server at:
pharmwaste@lists.dep.state.fl.us<BR><BR><BR>End of Pharmwaste Digest, Vol 53,
Issue
13<BR>******************************************<o:p></o:p></SPAN></FONT></P></DIV></DIV></BODY></HTML>