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<BODY id=compText>We also see the great disparity in access to health care. There are still many patients who must decide between paying utility bills or paying for their medicines. Those who volunteer or participate in drug take-back programs must feel the pain of collecting unwanted meds and disposing of them and wishing the returned meds could be recycled or donated. For safety reason, no returned drug should be recycled or donated to another person, particularly if the drugs are expired. This becomes an issue of medical ethics and "standard of care".<BR><BR><BR>
<BLOCKQUOTE style="BORDER-LEFT: #0000ff 2px solid; PADDING-LEFT: 5px; MARGIN-LEFT: 0px">-----Original Message----- <BR>From: "Lauer, Michelle" <MLAUER@CHRISTIANACARE.ORG><BR>Sent: Apr 13, 2010 4:25 PM <BR>To: "Matthew C. Mireles" <MIRELESMC@EARTHLINK.NET>, Dennis Lucia <DJLUCIA@GW.DEC.STATE.NY.US>, "Deborah (DEQ)' 'DeBiasi" <DEBORAH.DEBIASI@DEQ.VIRGINIA.GOV>, pharmwaste@lists.dep.state.fl.us, Sue Dayton <SDAYTON@SWCP.COM><BR>Cc: "Elizabeth A. Smith PhD" <EASMITH@COMMUNITYOFCOMPETENCE.COM><BR>Subject: RE: [Pharmwaste] "Europe Finds Clean Energy in Trash, but U.S. Lags" <BR><BR><ZZZHTML><ZZZHEAD><ZZZMETA content="text/html; charset=us-ascii" http-equiv="Content-Type">
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<DIV><SPAN class=987422320-13042010><FONT face=arial>Mathew:</FONT></SPAN></DIV>
<DIV><SPAN class=987422320-13042010><FONT face=arial>I could not second that one more! Thanks so much for pointing this out. What we collect at the med-take back events are a graphic reminder of all the 'overs' you mention below.</FONT></SPAN></DIV>
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<P align=left><SPAN lang=en-us><I><FONT face="Comic Sans MS">Michelle Lauer, RN, MSN, BC</FONT></I></SPAN> <BR><SPAN lang=en-us><I><FONT face="Comic Sans MS">Patient Care Coordinator - Psychiatry</FONT></I></SPAN> <BR><SPAN lang=en-us><I><FONT face="Comic Sans MS">(302) 428-2117 or pager # 884-9440</FONT></I></SPAN> </P>
<P class=MsoNormal><STRONG><B><FONT color=green size=5 face=Webdings><SPAN style="FONT-FAMILY: Webdings; COLOR: green; FONT-SIZE: 18pt">P</SPAN></FONT></B></STRONG><FONT color=black><SPAN style="COLOR: black"> </SPAN></FONT><STRONG><B><FONT color=green size=1 face=Arial><SPAN style="FONT-FAMILY: Arial; COLOR: green; FONT-SIZE: 7.5pt">Please consider the environment before printing this e-mail</SPAN></FONT></B></STRONG></P><BR>
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<DIV dir=ltr lang=en-us class=OutlookMessageHeader align=left><FONT size=2 face=Tahoma>-----Original Message-----<BR><B>From:</B> 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> Tuesday, April 13, 2010 2:13 PM<BR><B>To:</B> Dennis Lucia; Deborah (DEQ)' 'DeBiasi; pharmwaste@lists.dep.state.fl.us; Sue Dayton<BR><B>Cc:</B> Elizabeth A. Smith PhD<BR><B>Subject:</B> RE: [Pharmwaste] "Europe Finds Clean Energy in Trash, but U.S. Lags"<BR><BR></FONT></DIV>
<P>I have a better idea...we need to stop believing we are that sick. US population consumes about 50% of the entire global pharmaceutical production (approx $600 billion US). Some of our samples are showing about 40-50% of prescription medicines being thrown away (flushed, buried, or burned). One effective but very difficult solutnion is to address the over-marketing, over-prescribing, over-consuming, and over-the-top wasting in the US. There really isn't a cure for everything, and a true reality check might be the closest panacea for many.</P>
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<P>Matthew Mireles</P>
<P>Community Medical Foundation for Patient Safety<BR><BR><BR></P>
<BLOCKQUOTE style="BORDER-LEFT: #0000ff 2px solid; PADDING-LEFT: 5px; MARGIN-LEFT: 0px">-----Original Message----- <BR>From: Dennis Lucia <DJLUCIA@GW.DEC.STATE.NY.US><BR>Sent: Apr 13, 2010 1:46 PM <BR>To: "Deborah (DEQ)' 'DeBiasi" <DEBORAH.DEBIASI@DEQ.VIRGINIA.GOV>, pharmwaste@lists.dep.state.fl.us, Sue Dayton <SDAYTON@SWCP.COM><BR>Subject: RE: [Pharmwaste] "Europe Finds Clean Energy in Trash, but U.S. Lags" <BR><BR><ZZZHTML><ZZZHEAD><ZZZMETA content="text/html; charset=utf-8" http-equiv="Content-Type"><ZZZMETA content="MSHTML 6.00.2900.3640" name="GENERATOR"></ZZZHEAD><ZZZBODY style="MARGIN: 4px 4px 1px; FONT: 10pt Tahoma">
<DIV>Sue,</DIV>
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<DIV>Pick your poison.</DIV>
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<DIV>Assume 1000 #'s of pharmaceuticals to be disposed of.</DIV>
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<DIV>Method 1 - Flushing - 100% enters the waters</DIV>
<DIV>Method 2 - landfill - Pharmaceuticals enter the leachate - some break down - most are sent to a wastewater treatment facility let's say 95% for the sake of conversation. 950 # to the waters</DIV>
<DIV>Method 3 - incineration - controlled burn - 999+ pounds destroyed - 1 # to filters some captured. Less than 1 # released to environment.</DIV>
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<DIV>What we need are well controlled facilities that follow regulations... :)</DIV>
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<DIV>Dennis J. Lucia, P.E.<BR>Pollution Prevention Unit<BR>Division of Environmental Permits<BR>New York State Department of Environmental Conservation<BR>625 Broadway 4th Fl.- SW<BR>Albany, NY 12233-1750<BR>(518) 402-9469<BR>Fax (518) 402-9168<BR><BR><BR>>>> "Sue Dayton" <sdayton@swcp.com> 4/13/2010 1:02 PM >>><BR>Hi Folks:<BR><BR>"Dozens of filters catch pollutants, from mercury to dioxin, that would have<BR>emerged from its smokestack only a decade ago?"<BR><BR>Waste to energy? Sounds like a wonderful idea, but not without compromises.<BR>For one, our air. <BR><BR>Our organization has a number of studies available on WTE. For starters see:<BR><BR><BR><A href="http://www.bredl.org/pdf2/StopIncinerationBlowingSmoke.pdf">http://www.bredl.org/pdf2/StopIncinerationBlowingSmoke.pdf</A><BR><BR><A href="http://www.greenaction.org/incinerators/documents/IncineratorsInDisguiseRepo">http://www.greenaction.org/incinerators/documents/IncineratorsInDisguiseRepo</A><BR>rtJune2006.pdf<BR><BR><A href="http://preventcancernow.ca/wp">http://preventcancernow.ca/wp</A>-content/uploads/2009/02/pcn-incin51.pdf<BR><BR>PowerPoint: Burning Issues in Waste Disposal: <BR><A href="http://www.greenaction.org/incinerators/documents/GreenactionGAIAIncinerator">http://www.greenaction.org/incinerators/documents/GreenactionGAIAIncinerator</A><BR>sInDisguise0209.pdf<BR><BR>Best - <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>sdayton@swcp.com<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: pharmwaste-bounces@lists.dep.state.fl.us<BR>[mailto:pharmwaste-bounces@lists.dep.state.fl.us] On Behalf Of DeBiasi,<BR>Deborah (DEQ)<BR>Sent: Tuesday, April 13, 2010 9:31 AM<BR>To: pharmwaste@lists.dep.state.fl.us<BR>Subject: [Pharmwaste] "Europe Finds Clean Energy in Trash, but U.S. Lags"<BR><BR>Good article on the Waste-to-Energy Incinerators, like Covanta, that<BR>were being discussed here last week.<BR><BR>"Europe Finds Clean Energy in Trash, but U.S. Lags"<BR><BR><A href="http://www.nytimes.com/2010/04/13/science/earth/13trash.html?th&emc=th">http://www.nytimes.com/2010/04/13/science/earth/13trash.html?th&emc=th</A><BR><BR><BR>Deborah L. DeBiasi <BR>Email: Deborah.DeBiasi@deq.virginia.gov (NEW!)<BR>WEB site address: www.deq.virginia.gov <BR>Virginia Department of Environmental Quality <BR>Office of Water Permit Programs <BR>Industrial Pretreatment/Whole Effluent Toxicity (WET) Program <BR>PPCPs, EDCs, and Microconstituents<BR>www.deq.virginia.gov/vpdes/microconstituents.html <BR>Mail: P.O. Box 1105, Richmond, VA 23218 <BR>Location: 629 E. Main Street, Richmond, VA 23219 <BR>PH: 804-698-4028 <BR>FAX: 804-698-4032 <BR><BR>---<BR>Note: As a courtesy to other listserv subscribers, please post messages to<BR>the listserv in plain text format to avoid the garbling of messages received<BR>by digest recipients.<BR>---<BR>TO SUBSCRIBE, go to:<BR><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<BR>pharmwaste-unsubscribe@lists.dep.state.fl.us -- the subject line and body of<BR>the e-mail should be blank.<BR>If you believe you may be subscribed with a different email address, please<BR>visit the subscriber listing at<BR><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>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></DIV></ZZZBODY></ZZZHTML></BLOCKQUOTE></BLOCKQUOTE></ZZZBODY></ZZZHTML></BLOCKQUOTE></BODY>