<html xmlns:v="urn:schemas-microsoft-com:vml" xmlns:o="urn:schemas-microsoft-com:office:office" xmlns:w="urn:schemas-microsoft-com:office:word" xmlns:x="urn:schemas-microsoft-com:office:excel" xmlns:p="urn:schemas-microsoft-com:office:powerpoint" xmlns:a="urn:schemas-microsoft-com:office:access" xmlns:dt="uuid:C2F41010-65B3-11d1-A29F-00AA00C14882" xmlns:s="uuid:BDC6E3F0-6DA3-11d1-A2A3-00AA00C14882" xmlns:rs="urn:schemas-microsoft-com:rowset" xmlns:b="urn:schemas-microsoft-com:office:publisher" xmlns:ss="urn:schemas-microsoft-com:office:spreadsheet" xmlns:c="urn:schemas-microsoft-com:office:component:spreadsheet" xmlns:odc="urn:schemas-microsoft-com:office:odc" xmlns:oa="urn:schemas-microsoft-com:office:activation" xmlns:html="http://www.w3.org/TR/REC-html40" xmlns:q="http://schemas.xmlsoap.org/soap/envelope/" xmlns:rtc="http://microsoft.com/officenet/conferencing" xmlns:D="DAV:" xmlns:Repl="http://schemas.microsoft.com/repl/" xmlns:mt="http://schemas.microsoft.com/sharepoint/soap/meetings/" xmlns:x2="http://schemas.microsoft.com/office/excel/2003/xml" xmlns:ppda="http://www.passport.com/NameSpace.xsd" xmlns:ois="http://schemas.microsoft.com/sharepoint/soap/ois/" xmlns:dir="http://schemas.microsoft.com/sharepoint/soap/directory/" xmlns:ds="http://www.w3.org/2000/09/xmldsig#" xmlns:dsp="http://schemas.microsoft.com/sharepoint/dsp" xmlns:udc="http://schemas.microsoft.com/data/udc" xmlns:xsd="http://www.w3.org/2001/XMLSchema" xmlns:sub="http://schemas.microsoft.com/sharepoint/soap/2002/1/alerts/" xmlns:ec="http://www.w3.org/2001/04/xmlenc#" xmlns:sp="http://schemas.microsoft.com/sharepoint/" xmlns:sps="http://schemas.microsoft.com/sharepoint/soap/" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xmlns:udcs="http://schemas.microsoft.com/data/udc/soap" xmlns:udcxf="http://schemas.microsoft.com/data/udc/xmlfile" xmlns:udcp2p="http://schemas.microsoft.com/data/udc/parttopart" xmlns:st="" xmlns:st1="urn:schemas-microsoft-com:office:smarttags" xmlns="http://www.w3.org/TR/REC-html40"
xmlns:ns2="http://schemas.microsoft.com/office/2006/digsig"
xmlns:ns3="http://schemas.microsoft.com/office/2006/digsig-setup"
xmlns:ns4="http://schemas.microsoft.com/exchange/services/2006/messages"
xmlns:ns5="http://schemas.microsoft.com/exchange/services/2006/types"
xmlns:ns0="http://schemas.microsoft.com/office/2004/12/omml"
xmlns:ns6="http://schemas.openxmlformats.org/package/2006/digital-signature"
xmlns:ns7="http://schemas.openxmlformats.org/package/2006/relationships"
xmlns:ns8="http://schemas.openxmlformats.org/markup-compatibility/2006"
xmlns:ns9="http://schemas.microsoft.com/sharepoint/soap/SlideLibrary/"
xmlns:ns10="http://microsoft.com/webservices/SharePointPortalServer/PublishedLinksService"
xmlns:ns11="http://microsoft.com/sharepoint/webpartpages"
xmlns:ns12="http://schemas.microsoft.com/sharepoint/soap/workflow/"
xmlns:ns13="urn:schemas-microsoft-com:">
<head>
<meta http-equiv=Content-Type content="text/html; charset=us-ascii">
<meta name=Generator content="Microsoft Word 11 (filtered medium)">
<!--[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
namespaceuri="urn:schemas-microsoft-com:office:smarttags" name="country-region"/>
<o:SmartTagType namespaceuri="urn:schemas-microsoft-com:office:smarttags"
name="PostalCode"/>
<o:SmartTagType namespaceuri="urn:schemas-microsoft-com:office:smarttags"
name="State"/>
<o:SmartTagType namespaceuri="urn:schemas-microsoft-com:office:smarttags"
name="City"/>
<o:SmartTagType namespaceuri="urn:schemas-microsoft-com:office:smarttags"
name="place"/>
<!--[if !mso]>
<style>
st1\:*{behavior:url(#default#ieooui) }
</style>
<![endif]-->
<style>
<!--a:link
{mso-style-priority:99;}
span.MSOHYPERLINK
{mso-style-priority:99;}
a:visited
{mso-style-priority:99;}
span.MSOHYPERLINKFOLLOWED
{mso-style-priority:99;}
p.MSOPLAINTEXT
{mso-style-priority:99;}
li.MSOPLAINTEXT
{mso-style-priority:99;}
div.MSOPLAINTEXT
{mso-style-priority:99;}
span.PLAINTEXTCHAR
{mso-style-priority:99;}
/* Font Definitions */
@font-face
{font-family:Tahoma;
panose-1:2 11 6 4 3 5 4 4 2 4;}
@font-face
{font-family:Consolas;
panose-1:2 11 6 9 2 2 4 3 2 4;}
/* Style Definitions */
p.MsoNormal, li.MsoNormal, div.MsoNormal
{margin:0in;
margin-bottom:.0001pt;
font-size:12.0pt;
font-family:"Times New Roman";}
a:link, span.MsoHyperlink
{color:blue;
text-decoration:underline;}
a:visited, span.MsoHyperlinkFollowed
{color:purple;
text-decoration:underline;}
p.MsoPlainText, li.MsoPlainText, div.MsoPlainText
{margin:0in;
margin-bottom:.0001pt;
font-size:10.5pt;
font-family:Consolas;}
span.PlainTextChar
{font-family:Consolas;}
span.EmailStyle19
{mso-style-type:personal;
font-family:"Times New Roman";
color:#1F497D;}
span.EmailStyle21
{mso-style-type:personal-reply;
font-family:Arial;
color:navy;}
@page Section1
{size:8.5in 11.0in;
margin:1.0in 1.0in 1.0in 1.0in;}
div.Section1
{page:Section1;}
-->
</style>
<!--[if gte mso 9]><xml>
<o:shapedefaults v:ext="edit" spidmax="1026" />
</xml><![endif]--><!--[if gte mso 9]><xml>
<o:shapelayout v:ext="edit">
<o:idmap v:ext="edit" data="1" />
</o:shapelayout></xml><![endif]-->
</head>
<body lang=EN-US link=blue vlink=purple>
<div class=Section1>
<p class=MsoNormal><font size=2 color=navy face=Arial><span style='font-size:
10.0pt;font-family:Arial;color:navy'>And this does not take into account the volume
of animal discharge ….<o:p></o:p></span></font></p>
<p class=MsoNormal><font size=2 color=navy face=Arial><span style='font-size:
10.0pt;font-family:Arial;color:navy'><o:p> </o:p></span></font></p>
<p class=MsoNormal><font size=2 color=navy face=Arial><span style='font-size:
10.0pt;font-family:Arial;color:navy'>We are about to invest in a system to
address almost a 0% problem<o:p></o:p></span></font></p>
<p class=MsoNormal><font size=2 color=navy face=Arial><span style='font-size:
10.0pt;font-family:Arial;color:navy'><o:p> </o:p></span></font></p>
<div>
<p class=MsoNormal><font size=2 color=blue face=Arial><span style='font-size:
10.0pt;font-family:Arial;color:blue'>Jacob Hutti, Pharm.D.</span></font><font
color=navy><span style='color:navy'><o:p></o:p></span></font></p>
<p class=MsoNormal><font size=2 color=blue face=Arial><span style='font-size:
10.0pt;font-family:Arial;color:blue'>V.P. Business Development</span></font><font
color=navy><span style='color:navy'><o:p></o:p></span></font></p>
<p class=MsoNormal><font size=2 color=blue face=Arial><span style='font-size:
10.0pt;font-family:Arial;color:blue'>PCA Pharmacy</span></font><font
color=navy><span style='color:navy'><o:p></o:p></span></font></p>
<p class=MsoNormal><font size=2 color=blue face=Arial><span style='font-size:
10.0pt;font-family:Arial;color:blue'>1-866-213-8361</span></font><font
color=navy><span style='color:navy'><o:p></o:p></span></font></p>
<p class=MsoNormal><font size=3 color=navy face="Times New Roman"><span
style='font-size:12.0pt;color:navy'> <o:p></o:p></span></font></p>
<p class=MsoNormal><font size=2 color=navy face=Arial><span style='font-size:
10.0pt;font-family:Arial;color:navy'>******This email and any files transmitted
with it are confidential, and may also be legally privileged. Any
information unintentionally disclosed must be treated with respect to
HIPPA regulations If you are not the intended recipient, you may not
review, use, copy, or distribute this message. If you receive this email in
error, please notify the sender immediately by reply email or by phone at
502-964-5359 and then delete this email.******</span></font><o:p></o:p></p>
</div>
<div>
<div class=MsoNormal align=center style='text-align:center'><font size=3
face="Times New Roman"><span style='font-size:12.0pt'>
<hr size=2 width="100%" align=center tabindex=-1>
</span></font></div>
<p class=MsoNormal><b><font size=2 face=Tahoma><span style='font-size:10.0pt;
font-family:Tahoma;font-weight:bold'>From:</span></font></b><font size=2
face=Tahoma><span style='font-size:10.0pt;font-family:Tahoma'>
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>Tenace, Laurie<br>
<b><span style='font-weight:bold'>Sent:</span></b> Wednesday, July 07, 2010
1:33 PM<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] FW: 99.9% of
drugs in water are from excretion </span></font><o:p></o:p></p>
</div>
<p class=MsoNormal><font size=3 face="Times New Roman"><span style='font-size:
12.0pt'><o:p> </o:p></span></font></p>
<div>
<div>
<div>
<p class=MsoNormal><font size=2 color="#1f497d" face="Times New Roman"><span
style='font-size:11.0pt;color:#1F497D'>Several months ago a list serve member
mentioned that 99.9% of active pharmaceutical ingredient surface water releases
were from patient excretion. I stumbled across this reference to that number
the other day:<o:p></o:p></span></font></p>
<p class=MsoNormal><font size=2 color="#1f497d" face="Times New Roman"><span
style='font-size:11.0pt;color:#1F497D'><o:p> </o:p></span></font></p>
<p class=MsoPlainText style='margin-left:.5in'><font size=2 face=Consolas><span
style='font-size:10.5pt'>page 69 of <a
href="http://nepis.epa.gov/EPA/html/DLwait.htm?url=/Adobe/PDF/P1001AWF.PDF">http://nepis.epa.gov/EPA/html/DLwait.htm?url=/Adobe/PDF/P1001AWF.PDF</a>
(or section 6.3)<o:p></o:p></span></font></p>
<p class=MsoPlainText style='margin-left:.5in'><font size=2 face=Consolas><span
style='font-size:10.5pt'><o:p> </o:p></span></font></p>
<p class=MsoPlainText style='margin-left:.5in'><font size=2 face=Consolas><span
style='font-size:10.5pt'>EPA performed a literature search for studies or
reports on pharmaceuticals disposed of in landfills. EPA found that in 2007,
the Pharmaceutical Research and Manufacturers of America (PhRMA) evaluated the
potential for 24 active pharmaceutical ingredients to leach from MSW landfills
and their potential releases to surface water (Tischler, 2007). PhRMA compared
the modeled landfill leachate releases to estimates of surface water releases
from disposal of unused pharmaceuticals down the drain. PhRMA selected the 24
example pharmaceutical ingredients to represent a range of sales per year in
the <st1:country-region w:st="on"><st1:place w:st="on">U.S.</st1:place></st1:country-region>
(i.e., high quantities and low quantities) and a range of physical-chemical
properties. These pharmaceutical ingredients were also evaluated in the 2002
USGS study of pharmaceuticals in surface waters (Kolpin et al., 2002).<o:p></o:p></span></font></p>
<p class=MsoPlainText style='margin-left:.5in'><font size=2 face=Consolas><span
style='font-size:10.5pt'><o:p> </o:p></span></font></p>
<p class=MsoPlainText style='margin-left:.5in'><font size=2 face=Consolas><span
style='font-size:10.5pt'>The PhRMA study calculated that the landfill disposal
pathway to surface water accounted for an average of 0.03% to 0.10% of the
estimated aggregate annual surface water releases for the 24 active
pharmaceutical ingredients. Therefore, the study estimated that over <span
style='background:yellow'>99.9% of active pharmaceutical ingredient surface
water releases would be due to patient excretion</span>, not landfill disposal
of unused medicines, assuming that landfill disposal were used for all unused
medicine disposal. The evaluation was based on the assumption that the
efficiency of the pharmaceuticals partitioning to solids in the landfill is 50%
of the efficiency of partitioning in a biological wastewater treatment unit
(Tischler, 2007).<o:p></o:p></span></font></p>
<p class=MsoPlainText style='margin-left:.5in'><font size=2 face=Consolas><span
style='font-size:10.5pt'><o:p> </o:p></span></font></p>
<p class=MsoPlainText style='margin-left:.5in'><font size=2 face=Consolas><span
style='font-size:10.5pt'>Laurie Tenace<o:p></o:p></span></font></p>
<p class=MsoPlainText style='margin-left:.5in'><font size=2 face=Consolas><span
style='font-size:10.5pt'>Environmental Specialist<o:p></o:p></span></font></p>
<p class=MsoPlainText style='margin-left:.5in'><font size=2 face=Consolas><span
style='font-size:10.5pt'>Waste Reduction Section<o:p></o:p></span></font></p>
<p class=MsoPlainText style='margin-left:.5in'><font size=2 face=Consolas><span
style='font-size:10.5pt'>Florida Department of Environmental Protection<o:p></o:p></span></font></p>
<p class=MsoPlainText style='margin-left:.5in'><st1:place w:st="on"><st1:City
w:st="on"><font size=2 face=Consolas><span style='font-size:10.5pt'>2600</span></font></st1:City>
Blair Stone Rd., <st1:State w:st="on">MS</st1:State></st1:place> 4555<o:p></o:p></p>
<p class=MsoPlainText style='margin-left:.5in'><st1:place w:st="on"><st1:City
w:st="on"><font size=2 face=Consolas><span style='font-size:10.5pt'>Tallahassee</span></font></st1:City>
<st1:State w:st="on">FL</st1:State> <st1:PostalCode w:st="on">32399-2400</st1:PostalCode></st1:place><o:p></o:p></p>
<p class=MsoPlainText style='margin-left:.5in'><font size=2 face=Consolas><span
style='font-size:10.5pt'>P: 850.245.8759<o:p></o:p></span></font></p>
<p class=MsoPlainText style='margin-left:.5in'><font size=2 face=Consolas><span
style='font-size:10.5pt'>F: 850.245.8811<o:p></o:p></span></font></p>
<p class=MsoPlainText style='margin-left:.5in'><font size=2 face=Consolas><span
style='font-size:10.5pt'>Laurie.Tenace@dep.state.fl.us <o:p></o:p></span></font></p>
<p class=MsoPlainText style='margin-left:.5in'><font size=2 face=Consolas><span
style='font-size:10.5pt'><o:p> </o:p></span></font></p>
<p class=MsoPlainText style='margin-left:.5in'><font size=2 face=Consolas><span
style='font-size:10.5pt'>Mercury:
http://www.dep.state.fl.us/waste/categories/mercury/default.htm<o:p></o:p></span></font></p>
<p class=MsoPlainText style='margin-left:.5in'><font size=2 face=Consolas><span
style='font-size:10.5pt'><o:p> </o:p></span></font></p>
<p class=MsoPlainText style='margin-left:.5in'><font size=2 face=Consolas><span
style='font-size:10.5pt'>Batteries:
http://www.dep.state.fl.us/waste/categories/batteries/default.htm<o:p></o:p></span></font></p>
<p class=MsoPlainText style='margin-left:.5in'><font size=2 face=Consolas><span
style='font-size:10.5pt'><o:p> </o:p></span></font></p>
<p class=MsoPlainText style='margin-left:.5in'><font size=2 face=Consolas><span
style='font-size:10.5pt'>Pharmaceuticals: <o:p></o:p></span></font></p>
<p class=MsoPlainText style='margin-left:.5in'><font size=2 face=Consolas><span
style='font-size:10.5pt'>http://www.dep.state.fl.us/waste/categories/medications/default.htm<o:p></o:p></span></font></p>
<p class=MsoPlainText style='margin-left:.5in'><font size=2 face=Consolas><span
style='font-size:10.5pt'>To join the Pharmwaste listserve:
http://lists.dep.state.fl.us/cgi-bin/mailman/listinfo/pharmwaste<o:p></o:p></span></font></p>
<p class=MsoPlainText style='margin-left:.5in'><font size=2 face=Consolas><span
style='font-size:10.5pt'><o:p> </o:p></span></font></p>
<p class=MsoPlainText style='margin-left:.5in'><font size=2 face=Consolas><span
style='font-size:10.5pt'>Household Hazardous Waste:<o:p></o:p></span></font></p>
<p class=MsoPlainText style='margin-left:.5in'><font size=2 face=Consolas><span
style='font-size:10.5pt'>http://www.dep.state.fl.us/waste/categories/hazardous/pages/household.htm<o:p></o:p></span></font></p>
<p class=MsoPlainText style='margin-left:.5in'><font size=2 face=Consolas><span
style='font-size:10.5pt'><o:p> </o:p></span></font></p>
<p class=MsoPlainText style='margin-left:.5in'><font size=2 face=Consolas><span
style='font-size:10.5pt'><o:p> </o:p></span></font></p>
</div>
<div>
<p class=MsoNormal style='margin-bottom:12.0pt'><font size=3
face="Times New Roman"><span style='font-size:12.0pt'><o:p> </o:p></span></font></p>
</div>
<div>
<p class=MsoNormal><em><i><font size=2 face=Arial><span style='font-size:10.0pt;
font-family:Arial'>The Department of Environmental Protection values your
feedback as a customer. DEP Secretary Michael W. Sole is committed to
continuously assessing and improving the level and quality of services provided
to you. Please take a few minutes to comment on the quality of service you
received. Simply click on <a
href="http://survey.dep.state.fl.us/?refemail=Laurie.Tenace@dep.state.fl.us"
target="_blank">this link to the DEP Customer Survey</a>. Thank you in advance
for completing the survey.</span></font></i></em><font size=1 face="Courier New"><span
style='font-size:9.0pt;font-family:"Courier New"'><o:p></o:p></span></font></p>
</div>
</div>
</div>
</div>
</body>
</html>