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<DIV>Charlotte, I whole heartily agree and I think that the take back part will only solve some of the issues we face. Source reduction as you describe should be the first step. I don't expect drug deconstruction to work for all types issued. Think about creams and other topicals, what a processing nightmare for energy, waste and water use. I would hope that it would drive innovative thinking in the design phase. We will need a suite of different solutions to completely manage the complete life-cycle of pharms in society. </DIV>
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<DIV>Awareness of issues needs to come early on before a drug recall or emptying out our grand parents house when they pass on. This awareness needs to be part of the discussion in nursing and medical school training, biotech manufacturing as well as in the R and D/sales phase at the drug manufacturer and reenforced by the FDA at approval.</DIV>
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<DIV>In the not to distant past we were trying to stop people from pouring flammable liquids down the drain, now we are concerned about un-measurable trace amounts of nano materials. Our challenge now is to balance quality of life with life cycle issues, so we can retain quality of life resources. </DIV>
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<P class=MsoNormal style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: Tahoma">Matt McCarron<?xml:namespace prefix = o ns = "urn:schemas-microsoft-com:office:office" /><o:p></o:p></SPAN></P>
<P class=MsoNormal style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: Tahoma">Pollution Prevention/Green Business<o:p></o:p></SPAN></P>
<P class=MsoNormal style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: Tahoma">CA Dept. of Toxic Substances Control<o:p></o:p></SPAN></P>
<P class=MsoNormal style="MARGIN: 0in 0in 0pt"><?xml:namespace prefix = st1 ns = "urn:schemas-microsoft-com:office:smarttags" /><st1:Street w:st="on"><st1:address w:st="on"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: Tahoma">700 Heinz Ave. Suite 300</SPAN></st1:address></st1:Street><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: Tahoma"> MS R2 - 2-3<o:p></o:p></SPAN></P>
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<P class=MsoNormal style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: Tahoma">510-540-3828<o:p></o:p></SPAN></P>
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<P class=MsoNormal style="MARGIN: 0in 0in 0pt"><o:p><FONT face=Arial size=3>Green Business = Good Business</FONT></o:p></P><BR><BR>>>> "Charlotte A. Smith" <csmith@pharmecology.com> 6/8/2010 6:44 PM >>><BR>With all due respect, the process of de-constructing dosage forms and<BR>re-formulating to FDA standards would be so complex and costly it would<BR>not be conceivable, even if you could actually get the products back to<BR>the manufacturing plants, many of which are overseas. If you really want<BR>to reduce pharm waste, focus on changing prescribing habits, encourage<BR>positive life-style changes, and other interventions to reduce the<BR>amount of drugs wasted. <BR><BR>Best regards, <BR><BR>Charlotte A. Smith, R. Ph., M.S., HEM<BR>Director, PharmEcology Services<BR>WM Healthcare Solutions, Inc.<BR>12229 W. North Ave., Suite 2<BR>Wauwatosa, WI 53226<BR>414-292-3959<BR>713-725-6363 (cell)<BR>414-479-9941 (fax)<BR>csmith@pharmecology.com<BR><BR>Waste Management's renewable energy projects create enough energy to<BR>power over 1 million homes.<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 Gabriel,<BR>Fred A<BR>Sent: Tuesday, June 08, 2010 1:03 PM<BR>To: Volkman, Jennifer (MPCA); Mark; pharmwaste@lists.dep.state.fl.us<BR>Subject: RE: [Pharmwaste] San Antonio - Texas / MedDropSA results<BR><BR>Jennifer,<BR><BR>I spoke with the former manager of a reverse distributor in Conyers, GA.<BR>I worked with this individual as far back as 1995, so he has quite a few<BR>years experience with the reverse distribution process. He informed me<BR>the percentage of medicines through the reverse distribution process<BR>which are routed to an incinerator is more like 99.5%. Historically the<BR>material being routed to the manufacturers from the reverse distributor<BR>were incinerated in the captive units operated by the manufacturers<BR>rather than reformulated or recycled. With the passage of MACT the<BR>volume of material moving to the commercial incineration market<BR>increased over the years. Over the years cetain materials have been<BR>'recycled' or 're-used' by the manufacturers; however, this is the<BR>historical exception not the rule.<BR><BR>Fred<BR>________________________________<BR>From: Volkman, Jennifer (MPCA) [Jennifer.Volkman@state.mn.us]<BR>Sent: Tuesday, June 08, 2010 12:55 PM<BR>To: Mark; pharmwaste@lists.dep.state.fl.us<BR>Subject: RE: [Pharmwaste] San Antonio - Texas / MedDropSA results<BR><BR>Excellent! I support product stewardship and I agree the scenario you<BR>describe would be better than incineration, hands down. I think<BR>electronics manufacturers have learned a lot about product design,<BR>minimizing waste and hopefully some distribution efficiencies also.<BR><BR>I am wondering if you think we should put language directing pharms to<BR>be recycled by manufacturers in all product stewardship legislation? Do<BR>you think it is best to start with that or work it in later? I like the<BR>idea. I also like the idea that people could send unused pharms right<BR>back to the mfg, but I'm not sure people would be willing to cover<BR>postage. Maybe they could do something like 360 Vodka does, which is to<BR>attach an envelope to return the lock cap for reuse for any first time<BR>prescription. I am also thinkikng about the supplements I took back to<BR>GNC. Nothing they have is controlled or prescribed, it seems like they'd<BR>be in a great position to guide that stuff back to the manufacturer.<BR><BR>Also, although manufacturers do have reverse distribution in place and<BR>do give credit to pharmacies for returned pharms, I have talked with<BR>Veolia, a licensed redistributor, and they have stated that the vast<BR>majority, 90% plus is disposed of through them vs. routed on to the<BR>manufacturer. I am guessing that decision is based on cost and<BR>simplicity vs. anything to do with the environment and sustainability.<BR>As Rick notes, there is a learning curve. I have not talked to other<BR>redistributors that are not also waste management firms, so I am not<BR>sure whether that is true for them too. We did have one in MN for<BR>awhile and they managed for disposal. Does anyone have a good idea what<BR>percentage that is redistributed actually makes it back to the<BR>manufacturer?<BR><BR><BR>Maybe we could work with a "green" manufacturer of a line of supplements<BR>to see how that would work. It would be a great grant project.<BR><BR>________________________________<BR>From: pharmwaste-bounces@lists.dep.state.fl.us<BR>[pharmwaste-bounces@lists.dep.state.fl.us] On Behalf Of Reibstein, Rick<BR>(EEA) [Rick.Reibstein@state.ma.us]<BR>Sent: Tuesday, June 08, 2010 11:44 AM<BR>To: Matthew Mccarron; Mark; gressitt<BR>Cc: 'Jeff Hollar'; pharmwaste@lists.dep.state.fl.us; 'Matthew C.<BR>Mireles'<BR>Subject: RE: [Pharmwaste] San Antonio - Texas / MedDropSA results<BR><BR>Well said. The benefits of a full-out takeback program could be<BR>considerable, including the good will it would generate. I think it is<BR>also not inconceivable that the more that is learned by developing<BR>recovery of useful active ingredients the more the industry will advance<BR>processing technologies that will benefit the front end as well.<BR><BR>From: pharmwaste-bounces@lists.dep.state.fl.us<BR>[mailto:pharmwaste-bounces@lists.dep.state.fl.us] On Behalf Of Matthew<BR>Mccarron<BR>Sent: Tuesday, June 08, 2010 12:18 PM<BR>To: Mark; gressitt<BR>Cc: 'Jeff Hollar'; pharmwaste@lists.dep.state.fl.us; 'Matthew C.<BR>Mireles'<BR>Subject: RE: [Pharmwaste] San Antonio - Texas / MedDropSA results<BR><BR>I've said this on this list serv several years ago, manufacturer take<BR>back is the most protective way to manage this problem. You already<BR>have reverse distribution in place. The manufacturer and their<BR>production facility already has pollution control for air,water and<BR>waste in place at their production facility. If they can formulate,<BR>they can deconstruct and recycle chemicals and as an added bonus protect<BR>any proprietary formulations due to better product distribution control.<BR>Since most of the product sold is consumed cost should be pennies per<BR>item sold.<BR><BR>Granted it is cheaper to burn, and currently this industry does not know<BR>what the costs for this activity will be. The Pharm industry should<BR>take a lesson from the electronics industry by evaluating the cost<BR>impact, build it into the product cost and get out ahead of a hodgepodge<BR>of well intended but poorly designed and executed state legislation (20<BR>different versions), before it falls into the same trap. The biggest<BR>challenge is the overseas manufacturer willingness to comply, which is<BR>why Federal legislation is needed to control products sold in the US.<BR><BR>Matt McCarron<BR>Pollution Prevention/Green Business<BR>CA Dept. of Toxic Substances Control<BR>700 Heinz Ave. Suite 300 MS R2 - 2-3<BR>Berkeley, CA 94710<BR><BR>510-540-3828<BR><BR>Green Business = Good Business<BR><BR><BR>>>> gressitt <gressitt@zoho.com> 6/7/2010 4:13 PM >>><BR>Why? What is better?<BR><BR>---- On Mon, 07 Jun 2010 16:04:13 -0700 Mark<BR><mdonahue3@charter.net<mailto:mdonahue3@charter.net>> wrote ----<BR>But the *solution* is still incineration. Not good!<BR><BR>Mark Donahue<BR>ListServe Contributor<BR><BR>________________________________<BR>From:<BR>pharmwaste-bounces@lists.dep.state.fl.us<mailto:pharmwaste-bounces@lists<BR>.dep.state.fl.us> [mailto:pharmwaste-bounces@lists.dep.state.fl.us] On<BR>Behalf Of Matthew C. Mireles<BR>Sent: Monday, June 07, 2010 6:16 PM<BR>To: Jeff Hollar;<BR>pharmwaste@lists.dep.state.fl.us<mailto:pharmwaste@lists.dep.state.fl.us<BR>><BR>Subject: RE: [Pharmwaste] San Antonio - Texas / MedDropSA results<BR>That actually may qualify each household as small waste generator... :<BR>)<BR><BR>-----Original Message-----<BR>From: Jeff Hollar<BR>Sent: Jun 7, 2010 2:47 PM<BR>To:<BR>pharmwaste@lists.dep.state.fl.us<mailto:pharmwaste@lists.dep.state.fl.us<BR>><BR>Subject: RE: [Pharmwaste] San Antonio - Texas / MedDropSA results<BR><BR><BR><BR>Wow - That's over 10 pounds of pharmaceutical waste per vehicle! That<BR>seems high for a single consumer household.<BR><BR><BR><BR>Jeff Hollar<BR><BR>President<BR><BR>PharmWaste Technologies, Inc.<BR><BR>(P) 515-276-5302 Ext. 316<BR><BR>(W) www.pwaste.com<BR><BR><BR><BR>From: Tenace, Laurie [mailto:Laurie.Tenace@dep.state.fl.us]<BR>Sent: Monday, June 07, 2010 1:41 PM<BR>To:<BR>pharmwaste@lists.dep.state.fl.us<mailto:pharmwaste@lists.dep.state.fl.us<BR>><BR>Subject: [Pharmwaste] San Antonio - Texas / MedDropSA results<BR><BR><BR><BR><BR><BR>The Department of Environmental Protection values your feedback as a<BR>customer. DEP Secretary Michael W. Sole is committed to continuously<BR>assessing and improving the level and quality of services provided to<BR>you. Please take a few minutes to comment on the quality of service you<BR>received. Simply click on this link to the DEP Customer<BR>Survey<<A href="http://survey.dep.state.fl.us/?refemail=Laurie.Tenace@dep.state.f">http://survey.dep.state.fl.us/?refemail=Laurie.Tenace@dep.state.f</A><BR>l.us>. Thank you in advance for completing the survey.<BR><BR>From: Ken Diehl [mailto:Ken.Diehl@saws.org]<BR>Sent: Monday, June 07, 2010 12:17 PM<BR>To: 'pharmwaste@lists.dep.state.fl.us'<BR>Subject: FW: San Antonio - Texas / MedDropSA results<BR><BR>May I ask this List Group if any other Program of it's kind has exceeded<BR>1,336 lbs. for a one time collection of unused/unwanted medicines<BR>collected in the US? Thanks.<BR><BR><BR><BR>Ken Diehl, Environmental Protection Specialist IV<BR><BR>Resource Protection & Compliance Department<BR><BR>San Antonio Water System<BR><BR>P.O. Box 2449<BR><BR>San Antonio, Texas 78298<BR><BR>Work: (210) 233-3535<BR><BR>Fax: (210) 233-4797<BR><BR>ken.diehl@saws.org<mailto:ken.diehl@saws.org><BR><BR><BR><BR>From: Ken Diehl<BR>Sent: Monday, June 07, 2010 9:02 AM<BR>To: 'Smith, Helen E.'; 'Georgia Zannaras'; 'judy@restorativehealth.com';<BR>'wiesner.dennis@heb.com'; 'Afamia El-Nakat'; 'pgoodwin@homeinstead.com'<BR>Cc: 'pharmwaste@lists.dep.state.fl.us'; Mike Gonzales; 'Jessica<BR>Huybregts'; Donovan Burton; William Peche; 'Winter, Andrew'; Dave Diehl;<BR>'eljohnso@tceq.state.tx.us'; David Newman; 'Joseph Krupa'; 'Guzman, John<BR>A'; 'James Miertschin'; 'Joe Gildersleeve'; 'Danny Siebeneicher'; Ken<BR>Diehl; Erik Hobson; Kirk Nixon; Robert Martinez; Sarah Gatewood<BR>Subject: San Antonio - Texas / MedDropSA results<BR><BR>I wanted to share the results provided by the San Antonio Police<BR>Department/Narcotics Division of "MedDropSA" that was held this last<BR>Sat. (June 5th) in San Antonio Texas. MedDropSA is the name for the<BR>City of San Antonio's residential pharmaceutical drug disposal program.<BR>See Flyer attached.<BR><BR><BR><BR>The San Antonio Water System has partnering with the San Antonio Police<BR>Department and the City's Solid Waste Management Division on a new<BR>initiative, MedDropSA. This program is designed to collect unwanted or<BR>unused medications, both prescription and over-the-counter. The event<BR>was scheduled in conjunction with the City's Household Hazardous Waste<BR>collection day to collect old/unneeded pharmaceuticals, providing a<BR>safe, free alternative to disposal.<BR><BR><BR><BR>Error! Filename not specified.Weight:<BR><BR>* Pills - 1,007 lbs<BR><BR>* Liquids/powders/creams - 329 lbs<BR><BR><BR><BR> GRAND TOTAL: 1,336 lbs<BR><BR><BR><BR>Approximate number of vehicles participated:<BR><BR>* 110<BR><BR><BR><BR>Boxes to be incinerated by Law enforcement at a permitted facility:<BR><BR>* Total of 36 boxes<BR><BR><BR><BR><BR>Please feel free to contact me with any questions you may have.<BR><BR><BR><BR>Ken Diehl, Environmental Protection Specialist IV<BR><BR>Resource Protection & Compliance Department<BR><BR>San Antonio Water System<BR><BR>P.O. Box 2449<BR><BR>San Antonio, Texas 78298<BR><BR>Work: (210) 233-3535<BR><BR>Fax: (210) 233-4797<BR><BR>ken.diehl@saws.org<mailto:ken.diehl@saws.org><BR><BR><BR><BR><BR>---<BR>Note: As a courtesy to other listserv subscribers, please post messages<BR>to the listserv in plain text format to avoid the garbling of messages<BR>received 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<mailto:pharmwaste-unsubscri<BR>be@lists.dep.state.fl.us> -- the subject line and body of the e-mail<BR>should be blank.<BR>If you believe you may be subscribed with a different email address,<BR>please 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<BR>Laurie.Tenace@dep.state.fl.us<mailto:Laurie.Tenace@dep.state.fl.us><BR>SEND MAIL to the list server at:<BR>pharmwaste@lists.dep.state.fl.us<mailto:pharmwaste@lists.dep.state.fl.us<BR>><BR><BR><BR>________________________________<BR>The information transmitted is intended only for the person or entity to<BR>which it is addressed and may contain confidential and/or privileged<BR>material. Any review, retransmission, dissemination or other use of, or<BR>taking of any action in reliance upon, this information by persons or<BR>entities other than the intended recipient is prohibited. If you<BR>received this in error, please contact Clean Harbors Environmental<BR>Services at 781.792.5555 and delete the material from any computer.<BR>---<BR>Note: As a courtesy to other listserv subscribers, please post messages<BR>to the listserv in plain text format to avoid the garbling of messages<BR>received 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<BR>body of the e-mail should be blank.<BR>If you believe you may be subscribed with a different email address,<BR>please 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><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></DIV></BODY></HTML>