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<p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";
color:#1F497D'>Sue, what would be your proposed method of destruction for the
pharmaceutical waste there in NC? <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'>Jan Harris, MPH<o:p></o:p></span></p>
<p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";
color:#1F497D'>Director, EHS<o:p></o:p></span></p>
<p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";
color:#1F497D'>Sharps Compliance<o:p></o:p></span></p>
<p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";
color:#1F497D'><a href="mailto:jharris@sharpsinc.com">jharris@sharpsinc.com</a>
<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"'> pharmwaste-bounces@lists.dep.state.fl.us
[mailto:pharmwaste-bounces@lists.dep.state.fl.us] <b>On Behalf Of </b>Sue
Dayton<br>
<b>Sent:</b> Tuesday, July 13, 2010 5:04 AM<br>
<b>To:</b> 'Al White'; 'gressitt'; 'Holcomb, Sarah, NMENV'<br>
<b>Cc:</b> pharmwaste@lists.dep.state.fl.us<br>
<b>Subject:</b> RE: [Pharmwaste] Federal Incineration Reg - Email found in
subject<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'>Hello Al:</span><o:p></o:p></p>
<p class=MsoNormal><span style='font-size:10.0pt;font-family:"Arial","sans-serif";
color:navy'> </span><o:p></o:p></p>
<p class=MsoNormal><span style='font-size:10.0pt;font-family:"Arial","sans-serif";
color:navy'>We are currently “fighting” two medical waste incinerators here in
NC: Stericycle and BMWNC (Healthcare Waste Solutions). Our goal is to convince
them to switch to more environmentally-friendly methods of disposal, (i.e.),
microwaving or autoclaving. Both incinerators are located next to schools and
residential neighborhoods. Both have continued violations. Both are out of
compliance with the new air standards for air pollutants under the new EPA
rules for medical waste incinerators promulgated in 2009. Both burn paper and
plastics as a means to <i>fuel the incinerators</i> – a method to reduce fuel
costs, but a monstrous and absolutely needless disposal method that results in
the formation of dioxins. </span><o:p></o:p></p>
<p class=MsoNormal><span style='font-size:10.0pt;font-family:"Arial","sans-serif";
color:navy'> </span><o:p></o:p></p>
<p class=MsoNormal><span style='font-size:10.0pt;font-family:"Arial","sans-serif";
color:navy'>There is <i>no regulation or testing</i> <i>required</i> for the
zillions of pharmaceuticals being incinerated: we do not know what is going in
nor do we know what is going out. Haz pharms are supposed to be separated from
non-haz pharms in our state (NC does not incinerate haz waste); however,
questions remain if the two are actually being efficiently and effectively
segregated. </span><o:p></o:p></p>
<p class=MsoNormal><span style='font-size:10.0pt;font-family:"Arial","sans-serif";
color:navy'> </span><o:p></o:p></p>
<p class=MsoNormal><span style='font-size:10.0pt;font-family:"Arial","sans-serif";
color:navy'>The new EPA rules include (in addition to better recycling and
waste segregation, increased monitoring/testing and removal of the exemption
for uncontrolled emissions from “by-pass” events) stricter standards for air
pollutants for medical waste incinerators. We are pushing to have our NC
implement the new rules two years earlier than the EPA’s compliance date of
2014. </span><o:p></o:p></p>
<p class=MsoNormal><span style='font-size:10.0pt;font-family:"Arial","sans-serif";
color:navy'> </span><o:p></o:p></p>
<p class=MsoNormal><span style='font-size:10.0pt;font-family:"Arial","sans-serif";
color:navy'>Pharms disposal continues to be a wild card and must somehow be
better regulated, tested and dealt with regarding their potential impacts to
public health and the environment. </span><o:p></o:p></p>
<p class=MsoNormal><span style='font-size:10.0pt;font-family:"Arial","sans-serif";
color:navy'> </span><o:p></o:p></p>
<div>
<p class=MsoNormal><span style='font-size:10.0pt;font-family:"Arial","sans-serif";
color:navy'>Sue Dayton</span><o:p></o:p></p>
<p class=MsoNormal><span style='font-size:10.0pt;font-family:"Arial","sans-serif";
color:navy'>Blue Ridge Environmental Defense League</span><o:p></o:p></p>
<p class=MsoNormal><span style='font-size:10.0pt;font-family:"Arial","sans-serif";
color:navy'>North Carolina Healthy Communities Program</span><o:p></o:p></p>
<p class=MsoNormal><span style='font-size:10.0pt;font-family:"Arial","sans-serif";
color:navy'>PO BOX 44</span><o:p></o:p></p>
<p class=MsoNormal><span style='font-size:10.0pt;font-family:"Arial","sans-serif";
color:navy'>Saxapahaw, NC 27340</span><o:p></o:p></p>
<p class=MsoNormal><span style='font-size:10.0pt;font-family:"Arial","sans-serif";
color:navy'>(336) 525-2003</span><o:p></o:p></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><o:p></o:p></p>
<p class=MsoNormal><span style='color:navy'> </span><o:p></o:p></p>
<p class=MsoNormal><span style='color:navy'> </span><o:p></o:p></p>
<p class=MsoNormal><span style='color:navy'> </span><o:p></o:p></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><o:p></o:p></p>
<p class=MsoNormal style='mso-margin-top-alt:auto;mso-margin-bottom-alt:auto'><span
style='font-family:"Arial","sans-serif";color:navy'> </span><o:p></o:p></p>
</div>
<p class=MsoNormal><span style='color:navy'> </span><o:p></o:p></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>Al White<br>
<b>Sent:</b> Tuesday, July 13, 2010 4:26 AM<br>
<b>To:</b> 'gressitt'; 'Holcomb, Sarah, NMENV'<br>
<b>Cc:</b> pharmwaste@lists.dep.state.fl.us<br>
<b>Subject:</b> RE: [Pharmwaste] Federal Incineration Reg</span><o:p></o:p></p>
</div>
<p class=MsoNormal> <o:p></o:p></p>
<p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";
color:#1F497D'>Sarah/ Stevan:</span><o:p></o:p></p>
<p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";
color:#1F497D'> </span><o:p></o:p></p>
<p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";
color:#1F497D'>Incineration is a very cost intensive, non-sustainable practice,
Additionally and most importantly it must be performed properly under strict
monitoring conditions. The un-intended by-product “Dioxin” et.al. will be
produced and released If the pharm compounds are not raised to proper
temperatures and maintained for prescribed time intervals under prescribed
containment conditions. This is not a simple task. I am amazed that this
practice is even permitted.</span><o:p></o:p></p>
<p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";
color:#1F497D'> </span><o:p></o:p></p>
<p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";
color:#1F497D'>Al White</span><o:p></o:p></p>
<p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";
color:#1F497D'> </span><o:p></o:p></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"'>
pharmwaste-bounces@lists.dep.state.fl.us
[mailto:pharmwaste-bounces@lists.dep.state.fl.us] <b>On Behalf Of </b>gressitt<br>
<b>Sent:</b> Monday, July 12, 2010 6:08 PM<br>
<b>To:</b> Holcomb, Sarah, NMENV<br>
<b>Cc:</b> pharmwaste@lists.dep.state.fl.us<br>
<b>Subject:</b> Re: [Pharmwaste] Federal Incineration Reg</span><o:p></o:p></p>
</div>
</div>
<p class=MsoNormal> <o:p></o:p></p>
<p class=MsoNormal style='margin-bottom:12.0pt'><span style='font-family:"Verdana","sans-serif"'>I
would ask them to provide the reg. It is not true in Maine.</span><o:p></o:p></p>
<div>
<div>
<div>
<p class=MsoNormal style='margin-bottom:10.0pt'>Stevan Gressitt, M.D.<br>
Faculty Associate, University of Maine Center on Aging<br>
Founding Director<br>
Maine Institute for Safe Medicine<br>
University of New England, College of Pharmacy<br>
Department of Pharmaceutical Sciences <br>
Associate Professor of Clinical Psychiatry<br>
University of New England, College of Osteopathic Medicine<br>
716 Stevens Avenue <br>
Portland, Maine 04103<br>
<a href="mailto:gressitt@gmail.com">gressitt@gmail.com</a> <br>
Cell: 207-441-0291 <o:p></o:p></p>
<p class=MsoNormal style='margin-bottom:10.0pt'> <o:p></o:p></p>
</div>
</div>
</div>
<p class=MsoNormal style='margin-bottom:12.0pt'><br>
<br>
---- On Mon, 12 Jul 2010 16:57:25 -0400 <b>Sarah, NMENV Holcomb <<a
href="mailto:sarah.holcomb@state.nm.us">sarah.holcomb@state.nm.us</a>></b>
wrote ---- <o:p></o:p></p>
<div>
<div>
<p><span style='font-family:"Calibri","sans-serif";color:blue'>Hi all – </span><o:p></o:p></p>
<p><span style='font-family:"Calibri","sans-serif";color:blue'>Does anyone know
of a federal regulation that prohibits the incineration of controlled
substances? This is information I heard this morning, but the person I spoke
with didn’t have any more information than this… </span><o:p></o:p></p>
<p><span style='font-family:"Calibri","sans-serif";color:blue'> </span><o:p></o:p></p>
<p><span style='font-family:"French Script MT";color:#0080FF'>~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~</span><o:p></o:p></p>
<p><span style='font-family:"Imprint MT Shadow";color:#0080FF'>Sarah Holcomb</span><o:p></o:p></p>
<p><span style='font-family:"Imprint MT Shadow";color:#0080FF'>Environmental
Scientist/Specialist</span><o:p></o:p></p>
<p><span style='font-family:"Imprint MT Shadow";color:#0080FF'>Surface Water
Quality Bureau</span><o:p></o:p></p>
<p><span style='font-family:"Imprint MT Shadow";color:#0080FF'>New Mexico
Environment Department</span><o:p></o:p></p>
<p><span style='font-family:"Imprint MT Shadow";color:#0080FF'>5500 San Antonio
NE, Albuquerque, NM 87109</span><o:p></o:p></p>
<p><span style='font-family:"Imprint MT Shadow";color:#0080FF'>505-222-9587</span><o:p></o:p></p>
<p style='margin:0in;margin-bottom:.0001pt'><b><span style='font-size:18.0pt;
font-family:Webdings;color:green'>P</span></b><b><span style='font-family:"French Script MT";
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before printing this e-mail</span></b><b><span style='font-family:"French Script MT";
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<p> <o:p></o:p></p>
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