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<p class=MsoNormal><span style='color:#1F497D'>Actually, most of the big-name pharmaceutical
companies that produce self-injected drugs sent us plans (<a
href="http://www.calrecycle.ca.gov/HomeHazWaste/Sharps/Reporting/default.htm#Plans">http://www.calrecycle.ca.gov/HomeHazWaste/Sharps/Reporting/default.htm#Plans</a>)
describing what they do to help with the disposal of sharps in California as
required by California law (Senate Bill 486).  Out of the 26 pharmaceutical companies,
10 provide free sharps containers to their patients.  Four companies (Abbot
Labs, EMD Serono, Genentech, and Johnson &amp; Johnson) provide full mailback
solutions.  EISAI provides a self-retracting syringe (and is one of the 10
providing free sharps containers).  Genentech’s Pegasys product comes in
pre-filled syringes, which include a needle guard.  Unfortunately, I believe
the vast majority of sharps are generated by a growing number of diabetics and I
haven’t seen any of the companies producing drugs for diabetics providing any
kind of disposal solutions like those listed above. <o:p></o:p></span></p>

<p class=MsoNormal><span style='color:#1F497D'><o:p>&nbsp;</o:p></span></p>

<p class=MsoNormal><span style='color:#1F497D'>For the pharmaceutical
collection program in L.A. County (not the City), the total collection for the
year was 13,500 lbs.  That’s a big amount but L.A. is a big County.  I’d have
to compare the per capita numbers to really see how it sizes up to others but I
do know when they started their program in 2009 they got a huge amount of
pharmaceuticals that dwarfed any other jurisdictions in California.  You might
assume that’s due to people hoarding their drugs waiting for that disposal
opportunity but I believe the County also had a good reason to believe it was also
due to inappropriate small business drops. <o:p></o:p></span></p>

<p class=MsoNormal><span style='color:#1F497D'><o:p>&nbsp;</o:p></span></p>

<p class=MsoNormal><span style='color:#1F497D'>Burke <o:p></o:p></span></p>

<p class=MsoNormal><span style='color:#1F497D'><o:p>&nbsp;</o:p></span></p>

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<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"'> Matthew C. Mireles
[mailto:mirelesmc@earthlink.net] <br>
<b>Sent:</b> Thursday, January 06, 2011 3:13 PM<br>
<b>To:</b> Volkman,Jennifer (MPCA); Lucy, Burke;
pharmwaste@lists.dep.state.fl.us<br>
<b>Subject:</b> Re: [Pharmwaste] RE: Sheriff's program gives drugs the drop<o:p></o:p></span></p>

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<p class=MsoNormal><o:p>&nbsp;</o:p></p>

<p><span style='font-size:9.0pt;font-family:"Arial","sans-serif";color:black'>Jennifer,
several if not all manufacturers of sharps (needles) have already set up a free
consumer collection network through various disposal company.&nbsp;&nbsp; Some
are direct mail back in sharps-proof containers (already paid by
manufacturers).&nbsp; For more info, contact companies like BD and
others.&nbsp;&nbsp; Collection of unused and expired medicines should never
include sharps, medical devices, or medical supplies.&nbsp; This is one reason
to do collection sample of what is being returned or collected.<o:p></o:p></span></p>

<p><span style='font-size:9.0pt;font-family:"Arial","sans-serif";color:black'>&nbsp;<o:p></o:p></span></p>

<p><span style='font-size:9.0pt;font-family:"Arial","sans-serif";color:black'>good
luck,<o:p></o:p></span></p>

<p><span style='font-size:9.0pt;font-family:"Arial","sans-serif";color:black'>&nbsp;<o:p></o:p></span></p>

<p style='margin-bottom:12.0pt'><span style='font-size:9.0pt;font-family:"Arial","sans-serif";
color:black'>Matthew Mireles<br>
<br>
<o:p></o:p></span></p>

<blockquote style='border:none;border-left:solid blue 1.5pt;padding:0in 0in 0in 3.0pt;
margin-left:0in;margin-top:5.0pt;margin-bottom:5.0pt'>

<p class=MsoNormal><span style='font-size:9.0pt;font-family:"Arial","sans-serif";
color:black'>-----Original Message----- <br>
From: &quot;Volkman, Jennifer (MPCA)&quot; <br>
Sent: Jan 6, 2011 3:47 PM <br>
To: &quot;Lucy, Burke&quot; , &quot;pharmwaste@lists.dep.state.fl.us&quot; <br>
Subject: [Pharmwaste] RE: Sheriff's program gives drugs the drop <br>
<br>
<br>
<o:p></o:p></span></p>

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<p class=MsoNormal><span style='font-size:8.0pt;font-family:"Tahoma","sans-serif";
color:black'>That is a&nbsp;problem for any permanent or event collection
anywhere. I've seen it at both. I would put it at 2%.&nbsp;Maybe that is even
high. I think most of our bins at Sheriff's offices are inside and that
doesn't&nbsp;stop pharmacies or clinics from tipping in small amounts. How do
you categorize a public health nurse that might bring in expired meds from a
home they visit...Anyone starting a program will have to assume they will
receive some business pharms, but I really think it is a minor issue.&nbsp; We
are going through the process of educating and licensing our pharmacies and
clinics in MN for pharm waste generation. I don't know if that means we'll have
more or less of them using that option.<o:p></o:p></span></p>

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<p class=MsoNormal><span style='font-size:8.0pt;font-family:"Tahoma","sans-serif";
color:black'>&nbsp;<o:p></o:p></span></p>

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<p class=MsoNormal><span style='font-size:10.0pt;font-family:"Tahoma","sans-serif";
color:black'>The numbers from&nbsp;LA's pharm collection program (1,200 lbs in
a year in LA?!!) don't seem to indicate much non-HH disposal. What do you other
collectors think? Hennepin County collected more than that in a day at the
&quot;not so widely advertised&quot; 9/25 event. I am in the process of
gathering numbers from our sites, so I don't have a comparison yet, but I bet
they each collected more than that. As with any kind of program anywhere,
you'll have that small percentage of people that will take advantage, but that
shouldn't be a deterrant from collecting.</span><span style='font-size:8.0pt;
font-family:"Tahoma","sans-serif";color:black'><o:p></o:p></span></p>

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<p class=MsoNormal><span style='font-size:8.0pt;font-family:"Tahoma","sans-serif";
color:black'>&nbsp;<o:p></o:p></span></p>

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<p class=MsoNormal><span style='font-size:10.0pt;font-family:"Tahoma","sans-serif";
color:black'>The sharps numbers don't seem really high either. If a diabetic
has to inject once a day, 60,000 needles = 164 people. Most clinics are set up
for automatic sharp service. I really can't see them going through the extra
effort to empty their bins and haul them somewhere. (but I tend toward naive)
We encounter people here in MN who have saved up needles for as long as they've
generated them while waiting for a better disposal option than the trash. Now
I'm curious and will have to check with the HH Programs that collect sharps to
see if they have numbers. I really like the idea of collecting both. But I
prefer that the manufacturers set up and pay for it! Isn't it crazy, really,
that law enforcement is paying for collection and disposal of sharps and pharms?</span><span
style='font-size:8.0pt;font-family:"Tahoma","sans-serif";color:black'><o:p></o:p></span></p>

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<p class=MsoNormal><span style='font-size:8.0pt;font-family:"Tahoma","sans-serif";
color:black'>&nbsp;<o:p></o:p></span></p>

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<p class=MsoNormal><span style='font-size:8.0pt;font-family:"Tahoma","sans-serif";
color:black'>&nbsp;<o:p></o:p></span></p>

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<p class=MsoNormal style='margin-bottom:12.0pt'><b><span style='font-size:10.0pt;
font-family:"Tahoma","sans-serif";color:black'>From:</span></b><span
style='font-size:10.0pt;font-family:"Tahoma","sans-serif";color:black'>
pharmwaste-bounces@lists.dep.state.fl.us
[pharmwaste-bounces@lists.dep.state.fl.us] On Behalf Of Lucy, Burke
[Burke.Lucy@CalRecycle.ca.gov]<br>
<b>Sent:</b> Thursday, January 06, 2011 2:33 PM<br>
<b>To:</b> pharmwaste@lists.dep.state.fl.us<br>
<b>Subject:</b> [Pharmwaste] Sheriff's program gives drugs the drop</span><span
style='font-size:8.0pt;font-family:"Tahoma","sans-serif";color:black'><o:p></o:p></span></p>

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<div>

<p class=MsoNormal><span style='color:black'>Here’s one problem with law
enforcement collecting drugs…<o:p></o:p></span></p>

<p class=MsoNormal><span style='color:black'>&nbsp;<o:p></o:p></span></p>

<p class=MsoNormal><span style='color:black'>Sheriff's program gives drugs the
drop<o:p></o:p></span></p>

<p class=MsoNormal><span style='color:black'><a
href="http://www.lacanadaonline.com/news/tn-vsl-drugdrop-20110106,0,6578684.story"
target="_blank">http://www.lacanadaonline.com/news/tn-vsl-drugdrop-20110106,0,6578684.story</a><o:p></o:p></span></p>

<p class=MsoNormal><span style='color:black'>&nbsp;<o:p></o:p></span></p>

<p class=MsoNormal><span style='color:black'>“…the program has proven so
popular that it's forced sheriff's officials to outsource disposal to another
department, and has prompted suspicions that medical clinics — not private
residents for whom the program was intended — are taking advantage of the free
service.&nbsp; The Safe Drug Drop-Off program allows residents to anonymously
dispose of drug-related waste in modified mailbox containers that stand outside
20 sheriff's department stations throughout the county…More than 13,500 pounds
of prescription and over-the-counter medications were collected last year at
the various stations…”<o:p></o:p></span></p>

<p class=MsoNormal><span style='color:black'>&nbsp;<o:p></o:p></span></p>

<p class=MsoNormal><span style='color:black'>I think law enforcement stations
tend to place their collection bins outside or in lobbies whereas other types
of programs tend to keep them inside.&nbsp; I’ve only heard of the problem of
medical clinics potentially using the drop boxes from a few law enforcement
program managers.&nbsp; <o:p></o:p></span></p>

<p class=MsoNormal><span style='color:black'>&nbsp;<o:p></o:p></span></p>

<p class=MsoNormal><span style='color:black'>Mr. Burke Lucy<o:p></o:p></span></p>

<p class=MsoNormal><span style='color:black'>Integrated Waste Management
Specialist<o:p></o:p></span></p>

<p class=MsoNormal><span style='color:black'>Department of Resources Recycling
and Recovery (CalRecycle)<o:p></o:p></span></p>

<p class=MsoNormal><span style='color:black'>1001 I Street, PO Box 4025<o:p></o:p></span></p>

<p class=MsoNormal><span style='color:black'>Sacramento, CA 95812<o:p></o:p></span></p>

<p class=MsoNormal><span style='color:black'>Burke.Lucy@CalRecycle.ca.gov<o:p></o:p></span></p>

<p class=MsoNormal><span style='color:black'>916.341.6592 (recently changed)<o:p></o:p></span></p>

<p class=MsoNormal><span style='color:black'>&nbsp;<o:p></o:p></span></p>

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