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<P>according to a recent health industry survey, medication adherence programs can improve patient care and lower healthcare costs by more effectively managing chronic medication <BR>utilization. Beyond increasing risk of death, poor medication adherence is tied to as much as $290 billion annually in increased medical costs and responsible for 33 to 69 percent of all medication-related hospital admissions in the United States, at a cost of about $100 billion per year. The current healthcare reform legislation contains important provisions related to medication adherence, including a series of grant and pilot programs in medication therapy management (MTM).
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<P>On the environmental end, quantity of wasted medicines classified as environmentally hazardous may be irrelevant when even the smallest amount of EE2 in ppt (part per trillion) is sufficient to alter aquatic lifeforms. Minute amount of indiscriminate or improper disposal of antibiotics may be enough to eliminate the weaker strains and promote survival of the most resistive bacteria to our arsenal of vaccines and treatment drugs. For example, the highly infectious TB has a new category--extremely drug-resistant (XDR).
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<P>The 5% is maybe what we only know, so far. But we don't have longitudinal data to really know or to imagine a realistic potential of harm from drugs in the environment. Epidemiologists are monitoring several health phenomena with highly suspicious envionmental links: certain cancer clusters, neurotube defects, early maturation of girls, decrease in male testosterone level, failure of male infant testes to descend, multiple sclerosis, etc. Causality has not be established. BTW, the health surveillance program that monitors the amount of environmental chemicals in umbilical cord blood of newborns reports that we are up to about 278 chemicals detected in blood, compared with only about 80 or so several decades ago.
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<P>Is 5% really a problem, or is it only the tip of an iceberg?
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<P>Matthew C. Mireles
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<BLOCKQUOTE style="BORDER-LEFT: #0000ff 2px solid; PADDING-LEFT: 5px; MARGIN-LEFT: 0px">-----Original Message----- <BR>From: Stevan Gressitt <GRESSITT@GMAIL.COM><BR>Sent: Sep 17, 2010 6:13 PM <BR>To: Barry Fernandez <BARRY@CLEAN-FUELS.NET><BR>Cc: Chris Smythe <SMYTHE@TOWN.DUXBURY.MA.US>, "Bunnell, Ross" <ROSS.BUNNELL@CT.GOV>, "Hodge, Victoria L." <VICTORIA.HODGE@CITYOFDENTON.COM>, pharmwaste@lists.dep.state.fl.us <BR>Subject: Re: [Pharmwaste] Hoax or Real <BR><BR>And absolutely all of my patients swear they take every single dose right on time. Every one of them. Bet everyone one who gets this email says the same thing? <BR><BR>
<DIV class=gmail_quote>On Thu, Sep 16, 2010 at 5:37 PM, Barry Fernandez <SPAN dir=ltr><<A href="mailto:Barry@clean-fuels.net" target=_blank>Barry@clean-fuels.net</A>></SPAN> wrote:<BR>
<BLOCKQUOTE style="BORDER-LEFT: #ccc 1px solid; MARGIN: 0px 0px 0px 0.8ex; PADDING-LEFT: 1ex" class=gmail_quote>
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<DIV dir=ltr align=left><SPAN><FONT color=#0000ff size=2 face=Arial>Absolutely brilliant.</FONT></SPAN></DIV>
<DIV dir=ltr align=left><SPAN><FONT color=#0000ff size=2 face=Arial></FONT></SPAN> </DIV>
<DIV dir=ltr align=left><SPAN><FONT color=#0000ff size=2 face=Arial>But hey... only 5% of all pharmaceutical waste is hazardous... according to the EPA.</FONT></SPAN></DIV>
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<P><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><A href="mailto:barry@clean-fuels.net" target=_blank><U></U><U><FONT color=#0000ff size=2 face="Century Gothic">barry@clean-fuels.net</FONT></U></A><FONT face="Times New Roman"><BR></FONT><A href="http://www.clean-fuels.net/" target=_blank><U></U><U><FONT color=#0000ff size=2 face="Century Gothic">www.clean-fuels.net</FONT></U></A><FONT face="Times New Roman"> </FONT> </P></SPAN></DIV><BR>
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<FONT size=2 face=Tahoma><B>From:</B> Hodge, Victoria L. [mailto:<A href="mailto:Victoria.Hodge@cityofdenton.com" target=_blank>Victoria.Hodge@cityofdenton.com</A>] <BR><B>Sent:</B> Thursday, September 16, 2010 2:36 PM<BR><B>To:</B> 'Chris Smythe'; Bunnell, Ross; <A href="mailto:pharmwaste@lists.dep.state.fl.us" target=_blank>pharmwaste@lists.dep.state.fl.us</A>
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<DIV class=h5><BR><B>Subject:</B> RE: [Pharmwaste] Hoax or Real<BR></DIV></DIV></FONT><BR></DIV>
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<P class=MsoNormal><SPAN style="COLOR: #1f497d">This is an artist’s attempt at satire to draw attention to the issue of pharmaceuticals in our water. Yes, the product is for sale, but the entire campaign is an art piece. And he even tells you how make your own. </SPAN></P>
<P class=MsoNormal><SPAN style="COLOR: #1f497d"></SPAN> </P>
<P class=MsoNormal><SPAN style="COLOR: #1f497d"><A href="http://www.baycitizen.org/blogs/pulse-of-the-bay/artists-tackle-chemical-trails-inside/" target=_blank>http://www.baycitizen.org/blogs/pulse-of-the-bay/artists-tackle-chemical-trails-inside/</A></SPAN></P>
<P class=MsoNormal><SPAN style="COLOR: #1f497d"></SPAN> </P>
<P class=MsoNormal><SPAN style="COLOR: #1f497d"><A href="http://www.instructables.com/id/Making-Medicinal-Salt/" target=_blank>http://www.instructables.com/id/Making-Medicinal-Salt/</A></SPAN></P>
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<P class=MsoNormal><B><SPAN style="COLOR: #403152">Victoria L. Hodge, MS</SPAN></B></P>
<P class=MsoNormal><SPAN style="COLOR: #1f497d">Household Hazardous Waste Supervisor<BR>City of Denton Solid Waste Dept.<BR>940.349.8019 office</SPAN></P>
<P class=MsoNormal><SPAN style="COLOR: #1f497d">940.349.8057 fax</SPAN></P>
<P class=MsoNormal><SPAN style="COLOR: #0f243e; FONT-SIZE: 10pt"><A href="http://www.dentonrecycles.com/" target=_blank>www.dentonrecycles.com</A></SPAN></P>
<P class=MsoNormal><SPAN style="COLOR: #0f243e; FONT-SIZE: 10pt"></SPAN> </P>
<P class=MsoNormal><SPAN style="COLOR: #1f497d; FONT-SIZE: 12pt">Sign up</SPAN><SPAN style="COLOR: #1f497d"> for <A href="http://www.cityofdenton.com/index.aspx?page=18" target=_blank><SPAN style="COLOR: #3b00ca">e-News</SPAN></A></SPAN></P>
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<P class=MsoNormal><B><SPAN style="FONT-SIZE: 10pt">From:</SPAN></B><SPAN style="FONT-SIZE: 10pt"> <A href="mailto:pharmwaste-bounces@lists.dep.state.fl.us" target=_blank>pharmwaste-bounces@lists.dep.state.fl.us</A> [mailto:<A href="mailto:pharmwaste-bounces@lists.dep.state.fl.us" target=_blank>pharmwaste-bounces@lists.dep.state.fl.us</A>] <B>On Behalf Of </B>Chris Smythe<BR><B>Sent:</B> Thursday, September 16, 2010 9:01 AM<BR><B>To:</B> Bunnell, Ross; <A href="mailto:pharmwaste@lists.dep.state.fl.us" target=_blank>pharmwaste@lists.dep.state.fl.us</A><BR><B>Subject:</B> RE: [Pharmwaste] Hoax or Real</SPAN></P></DIV></DIV>
<P class=MsoNormal> </P>
<P class=MsoNormal>You can actually order this product for $52.50 per bottle with shipping. Disturbing to say the least…. </P>
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<P class=MsoNormal>Best regards,</P>
<P class=MsoNormal> </P>
<P class=MsoNormal>Chris Smythe</P>
<P class=MsoNormal>DPW Office Manager</P>
<P class=MsoNormal>Town of Duxbury</P>
<P class=MsoNormal>781-934-1100 ext 130</P></DIV>
<P class=MsoNormal> </P>
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<P class=MsoNormal><B>From:</B> <A href="mailto:pharmwaste-bounces@lists.dep.state.fl.us" target=_blank>pharmwaste-bounces@lists.dep.state.fl.us</A> [mailto:<A href="mailto:pharmwaste-bounces@lists.dep.state.fl.us" target=_blank>pharmwaste-bounces@lists.dep.state.fl.us</A>] <B>On Behalf Of </B>Bunnell, Ross<BR><B>Sent:</B> Thursday, September 16, 2010 9:57 AM<BR><B>To:</B> '<A href="mailto:pharmwaste@lists.dep.state.fl.us" target=_blank>pharmwaste@lists.dep.state.fl.us</A>'<BR><B>Subject:</B> FW: [Pharmwaste] Hoax or Real</P></DIV></DIV>
<P class=MsoNormal> </P>
<P class=MsoNormal><SPAN style="COLOR: #1f497d">I think what you have here is someone’s wry sense of humor. For a similar (and much funnier) site, see:</SPAN></P>
<P class=MsoNormal><SPAN style="COLOR: #1f497d"></SPAN> </P>
<P class=MsoNormal><CITE><SPAN lang=EN><A href="http://www.dhmo.org/" target=_blank>www.dhmo.org</A> </SPAN></CITE><SPAN lang=EN> </SPAN></P>
<P class=MsoNormal><SPAN style="COLOR: #1f497d"></SPAN> </P>
<P class=MsoNormal><SPAN style="COLOR: #1f497d">--Ross Bunnell, Sanitary Engineer 3</SPAN></P>
<P class=MsoNormal><SPAN style="COLOR: #1f497d">CT Department of Environmental Protection (DEP)</SPAN></P>
<P class=MsoNormal><SPAN style="COLOR: #1f497d">Bureau of Materials Management and Compliance Assurance</SPAN></P>
<P class=MsoNormal><SPAN style="COLOR: #1f497d">Waste Engineering & Enforcement Division</SPAN></P>
<P class=MsoNormal><SPAN style="COLOR: #1f497d">Tel. 860.424.3274</SPAN></P>
<P class=MsoNormal><SPAN style="COLOR: #1f497d">Fax 860.424.4059</SPAN></P>
<P class=MsoNormal><SPAN style="COLOR: #1f497d"><A href="mailto:ross.bunnell@ct.gov" target=_blank>ross.bunnell@ct.gov</A></SPAN></P>
<P class=MsoNormal><SPAN style="COLOR: #1f497d"></SPAN> </P>
<P class=MsoNormal><SPAN style="COLOR: #1f497d"></SPAN> </P>
<P class=MsoNormal><SPAN style="COLOR: #1f497d"></SPAN> </P>
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<P class=MsoNormal><B>From:</B> <A href="mailto:pharmwaste-bounces@lists.dep.state.fl.us" target=_blank>pharmwaste-bounces@lists.dep.state.fl.us</A> [mailto:<A href="mailto:pharmwaste-bounces@lists.dep.state.fl.us" target=_blank>pharmwaste-bounces@lists.dep.state.fl.us</A>] <B>On Behalf Of </B>Margie Nellor<BR><B>Sent:</B> Wednesday, September 15, 2010 10:41 PM<BR><B>To:</B> <A href="mailto:pharmwaste@lists.dep.state.fl.us" target=_blank>pharmwaste@lists.dep.state.fl.us</A><BR><B>Subject:</B> [Pharmwaste] Hoax or Real</P></DIV></DIV>
<P class=MsoNormal> </P>
<P class=MsoNormal>A colleague from the University of Melbourne alerted me to this site. I took a look and its very strange – I didn’t look at the video. But in essence it’s a cocktail of PhACs in salt. </P>
<P class=MsoNormal> </P>
<P class=MsoNormal><SPAN style="FONT-SIZE: 10pt" lang=EN-AU><A href="http://all-salt.com/" target=_blank>http://all-salt.com/</A></SPAN></P>
<P class=MsoNormal> </P>
<P class=MsoNormal> </P>
<P class=MsoNormal><SPAN style="FONT-SIZE: 12pt">Margaret H. Nellor, P.E.</SPAN></P>
<P class=MsoNormal><SPAN style="FONT-SIZE: 12pt">President</SPAN></P>
<P class=MsoNormal><SPAN style="FONT-SIZE: 12pt">Nellor Environmental Associates, Inc., DBE, WBE</SPAN></P>
<P class=MsoNormal><SPAN style="FONT-SIZE: 12pt">4024 Walnut Clay Drive</SPAN></P>
<P class=MsoNormal><SPAN style="FONT-SIZE: 12pt">Austin, TX 78731</SPAN></P>
<P class=MsoNormal><SPAN style="FONT-SIZE: 12pt">512-374-9330</SPAN></P>
<P class=MsoNormal><A href="mailto:margie@nellorenvironmental.com" target=_blank>margie@nellorenvironmental.com</A></P><PRE> </PRE><PRE>-- </PRE><PRE>This email was Anti Virus checked by Astaro Security Gateway. <A href="http://www.astaro.com/" target=_blank>http://www.astaro.com</A></PRE></DIV></DIV></DIV></DIV><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-bin/mailman/listinfo/pharmwaste" target=_blank>http://lists.dep.state.fl.us/cgi-bin/mailman/listinfo/pharmwaste</A><BR>TO UNSUBSCRIBE, DO NOT REPLY TO THE LISTSERV. Please send an e-mail to <A href="mailto:pharmwaste-unsubscribe@lists.dep.state.fl.us" target=_blank>pharmwaste-unsubscribe@lists.dep.state.fl.us</A> -- 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-bin/mailman/roster/pharmwaste" target=_blank>http://lists.dep.state.fl.us/cgi-bin/mailman/roster/pharmwaste</A><BR>FOR PROBLEMS: Contact List Administrator <A href="mailto:Laurie.Tenace@dep.state.fl.us" target=_blank>Laurie.Tenace@dep.state.fl.us</A><BR>SEND MAIL to the list server at: <A href="mailto:pharmwaste@lists.dep.state.fl.us" target=_blank>pharmwaste@lists.dep.state.fl.us</A><BR><BR></BLOCKQUOTE></DIV><BR><BR clear=all><BR>-- <BR>
<DIV>Stevan Gressitt, M.D.<BR>Faculty Associate, University of Maine Center on Aging<BR>Academic Member, Athens Institute for Education and Research</DIV>
<DIV>Athens, Greece</DIV>
<DIV>Founding Director, Institute for Medicine Safety<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" target=_blank>gressitt@gmail.com</A> <BR>Cell: 207-441-0291 </DIV>
<DIV><A href="http://www.benzos.une.edu/" target=_blank>www.benzos.une.edu</A> </DIV>
<DIV><A href="http://www.safemeddisposal.com/" target=_blank>www.safemeddisposal.com/</A><BR><BR></DIV><BR></BLOCKQUOTE></BODY>