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<p class=MsoNormal><span style='color:#1F497D'>We struggled with measuring
packaging for our <a
href="http://www.calrecycle.ca.gov/Publications/General/2011008.pdf">Report to
the California Legislature</a> but decided not to because of the limited
estimates at the time – so thank you Jennifer for sharing your findings. Dr’s
Kreisberg & Ruhoy’s very nice Oct. 2010 report, “<i>Bay Area Medication
Disposal Study 2009, An Inventory of Household Pharmaceutical Waste</i>”
estimated packaging based on volume. So based on the three weight-based estimates
below, the average amount of packaging by weight would be about <b>41%</b>
although compared to the fourth estimate below, it may be a little higher. <o:p></o:p></span></p>
<p class=MsoNormal><span style='color:#1F497D'><o:p> </o:p></span></p>
<p class=MsoNormal><span style='color:#1F497D'>Minnesota Pollution Control
Agency, Program Management Decision Memo. <i>Facilitating safe and efficient
collection and management of waste pharmaceuticals generated from households</i>.
Sept. 9, 2010. Pg. 5<o:p></o:p></span></p>
<p class=MsoNormal><span style='color:#1F497D'>“The ratio of pharmaceutical weight
to packaging weight for the non-hazardous non-controlled substance
pharmaceuticals was approximately 1.7:1 (158 pounds to 94 pounds). Hazardous
waste pharmaceuticals would likely demonstrate a similar pharmaceutical weight
to packaging weight ratio.”<o:p></o:p></span></p>
<p class=MsoNormal><b><span style='color:#1F497D'>37% packaging <o:p></o:p></span></b></p>
<p class=MsoNormal><span style='color:#1F497D'><o:p> </o:p></span></p>
<p class=MsoNormal style='text-autospace:none'><span style='color:#1F497D'>Grasso,
Cheri, et al., (2009) Secure Medicine Return in Washington State, The PH:ARM Pilot.
Available: <a
href="http://www.takebackyourmeds.org/pdf-files/pharm-final-report">http://www.takebackyourmeds.org/pdf-files/pharm-final-report</a>.
pg 45.<o:p></o:p></span></p>
<p class=MsoNormal><span style='color:#1F497D'>“Packaging containers, estimated
at 28 percent of the total weight of medicines collected…”<o:p></o:p></span></p>
<p class=MsoNormal style='text-autospace:none'><b><span style='color:#1F497D'>28%
packaging<o:p></o:p></span></b></p>
<p class=MsoNormal><span style='color:#1F497D'><o:p> </o:p></span></p>
<p class=MsoNormal style='text-autospace:none'><span style='color:#1F497D'>Health
Canada, "Pharmaceutical Disposal Programs for the Public: A Canadian Perspective",
Nov 6, 2009. Annex 6: International Programs. Available: <a
href="http://www.productstewardship.us/associations/6596/files/Takeback%20%282%29.pdf">http://www.productstewardship.us/associations/6596/files/Takeback%20%282%29.pdf</a>.
Pg. 70.<o:p></o:p></span></p>
<p class=MsoNormal><span style='color:#1F497D'> “France Cyclamed Program … Diversion
rate:<o:p></o:p></span></p>
<p class=MsoNormal><span style='color:#1F497D'>o Pharmaceuticals and packages
0.21 kg / capita in 2006.<o:p></o:p></span></p>
<p class=MsoNormal><span style='color:#1F497D'>o Pharmaceutical substances
alone 0.09 kg / capita in 2006.”<o:p></o:p></span></p>
<p class=MsoNormal><b><span style='color:#1F497D'>57% packaging<o:p></o:p></span></b></p>
<p class=MsoNormal><span style='color:#1F497D'><o:p> </o:p></span></p>
<p class=MsoNormal><span style='color:#1F497D'>Tim Grayling, Prepared for World
Health Organization, ―Guidelines for Safe Disposal of<o:p></o:p></span></p>
<p class=MsoNormal><span style='color:#1F497D'>Unwanted Pharmaceuticals in and
after Emergencies‖ 1999. Available at:<o:p></o:p></span></p>
<p class=MsoNormal><span style='color:#1F497D'><a
href="http://www.who.int/water_sanitation_health/medicalwaste/pharmaceuticals/en/">http://www.who.int/water_sanitation_health/medicalwaste/pharmaceuticals/en/</a>.
pg 2<o:p></o:p></span></p>
<p class=MsoNormal><span style='color:#1F497D'>“The gross weights mentioned
previously include packaging. Actual pharmaceutical contents may be half, or
less than half, of the gross weight.”<o:p></o:p></span></p>
<p class=MsoNormal><b><span style='color:#1F497D'>≥</span></b><b><span
style='color:#1F497D'>50% packaging<o:p></o:p></span></b></p>
<p class=MsoNormal><span style='color:#1F497D'><o:p> </o:p></span></p>
<p class=MsoNormal><span style='color:#1F497D'>Mr. Burke Lucy<o:p></o:p></span></p>
<p class=MsoNormal><span style='color:#1F497D'>Integrated Waste Management
Specialist<o:p></o:p></span></p>
<p class=MsoNormal><span style='color:#1F497D'>Department of Resources
Recycling and Recovery (CalRecycle)<o:p></o:p></span></p>
<p class=MsoNormal><span style='color:#1F497D'>1001 I Street, PO Box 4025<o:p></o:p></span></p>
<p class=MsoNormal><span style='color:#1F497D'>Sacramento, CA 95812<o:p></o:p></span></p>
<p class=MsoNormal><span style='color:#1F497D'>Burke.Lucy@CalRecycle.ca.gov<o:p></o:p></span></p>
<p class=MsoNormal><span style='color:#1F497D'>916.341.6592 </span><span
style='color:#1F497D'><o:p></o:p></span></p>
<p class=MsoNormal><span style='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>Volkman,
Jennifer (MPCA)<br>
<b>Sent:</b> Wednesday, June 01, 2011 3:04 PM<br>
<b>To:</b> pharmwaste@lists.dep.state.fl.us<br>
<b>Subject:</b> RE: [Pharmwaste] weight of packaging vs weight of pills at
collection events<o:p></o:p></span></p>
</div>
</div>
<p class=MsoNormal><o:p> </o:p></p>
<p class=MsoNormal><span style='color:#002060'>Pages 4 and 5 of this document
have the results of the sort we did at one of the county collection sites. They
had 5, 55 gallon drums collected over a 3 month period that we dumped out and
took apart. There were some things, like powder and aerosol inhalers, that we
didn’t take apart because of exposure concerns. We estimated the amounts of
liquids and gels/creams vs. packaging weight based on eyeballing the remaining
contents and subtracting that from the total weight instead of dumping or
squeezing them out. I think it was done well enough to give a good idea of
percentages of packaging vs. pills/liquids/gels. <o:p></o:p></span></p>
<p class=MsoNormal><span style='color:#002060'><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>Matthew
C. Mireles<br>
<b>Sent:</b> Tuesday, May 31, 2011 2:31 PM<br>
<b>To:</b> Marti Martz; pharmwaste@lists.dep.state.fl.us<br>
<b>Cc:</b> djlefeber@comofcom.com; Elizabeth A. Smith PhD; Cheenu<br>
<b>Subject:</b> Re: [Pharmwaste] weight of packaging vs weight of pills at
collection events<o:p></o:p></span></p>
</div>
</div>
<p class=MsoNormal><o:p> </o:p></p>
<p><span style='font-size:10.0pt;font-family:"Arial","sans-serif";color:black'>Marti,<o:p></o:p></span></p>
<p><span style='font-size:10.0pt;font-family:"Arial","sans-serif";color:black'> <o:p></o:p></span></p>
<p class=MsoNormal><span style='font-size:10.0pt;font-family:"Arial","sans-serif";
color:black'>Solid medicines are administered orally as powders, pills,
cachets, capsules or tablets. These are technical classification of the
form in which medicine is produced and marketed. Tablets and capsules currently
account for more than 2/3 of total number and cost of solid medicines produced
globally. Tablet is defined as a compressed solid dosage form containing
medicaments with or without diluents. It's easier to mass produce, package and
distribute tablets and capsules. Many peoplegroup them boardly into
"pills". When we refer to "pills" in the National
Unused and Expired Medicines Registry, we include tablets, capsules and
pills. From various sampling, we don't get much powders or pills, except
products categorized as CAM: alternative and complementary medicines (herbals,
teas, extracts, etc.). Yes, people are returning supplements and CAM
along with their unwanted meds and some illicit "recreational" drugs.</span><span
style='font-size:12.0pt;font-family:"Times New Roman","serif";color:black'><o:p></o:p></span></p>
<p class=MsoNormal><span style='color:black'> <o:p></o:p></span></p>
<p class=MsoNormal><span style='font-size:10.0pt;font-family:"Arial","sans-serif";
color:black'>Tablets come in various shape, size and weight, depending on the
actual amount of medicinal substances and the intended mode of
administration. Tablet is the most popular dosage form and accounts for
about 70% of the total solid medicines dispensed in US and abroad.<o:p></o:p></span></p>
<p><span style='font-size:10.0pt;font-family:"Arial","sans-serif";color:black'> <o:p></o:p></span></p>
<p class=MsoNormal><span style='font-size:10.0pt;font-family:"Arial","sans-serif";
color:black'>For our data analysis, we followed the consensus of the MBSG
steering committee to collect at minimum 5 essential variables (name of drug,
strength, quantity returned, reason for return, zip code). For
reliability, only the <strong><span style='font-family:"Arial","sans-serif"'>quantity
return</span></strong> for solid medicines (pills, tablets and capsules) was
selected for quantitative analysis. We estimate the proportion of wasted
medicine by the quantity and extrapolated standard packsize (what we expect the
original quantity of medicine should be on an average based on drug name and
strength; reference Red Book). We performed a small closed population
study to compare our "guessing" with the actual prescription quantity
on the label. The correlation was 0.96. We continue to study our
extrapolation method to further validate our protocol.</span><span
style='font-size:12.0pt;font-family:"Times New Roman","serif";color:black'><o:p></o:p></span></p>
<p class=MsoNormal><span style='color:black'> <o:p></o:p></span></p>
<p class=MsoNormal><span style='font-size:10.0pt;font-family:"Arial","sans-serif";
color:black'>As you can see, we don't particularly get involved with weight of
medicine so much as others who directly deal with collection, handling,
disposal and destruction of the drugs. Weight or volume are used to
price the cost of shipment and incineration. However, we have been asked
occasionally to give an estimate of the collected medicines in the
Registry. For this, we use a standard weight reference from an
international health group that declared <strong><span style='font-family:"Arial","sans-serif"'>300mg
</span></strong>as the "average" weight of a "pill", based
on the common aspirin. Subtracting this calculated total weight for
"pills" from the total weight of the entire sample of packages
with the pills would provide a crude weight for packaging materials. To
answer your answer regarding a "consensus", the answer is
"no". </span><span style='color:black'><o:p></o:p></span></p>
<p class=MsoNormal><span style='color:black'> <o:p></o:p></span></p>
<p class=MsoNormal><span style='font-size:10.0pt;font-family:"Arial","sans-serif";
color:black'>A good contact for this discussion is the Green Pharmacy folks in
CA. I just reviewed a paper by Joel Kreisberg and Ilene Ruhoy that
describes a pilot drug collection program in the Bay Area, 2009-2010.
They did an outstanding job characterizing each returned medicine (solid,
liquids, gels, etc.). The data collection was robust to include actual
prescribed quantity (number of pills) and the type of materials (glass, foil,
paper, plastic) and estimated proportion of packaging materials. We
only reviewed the final draft. I'm not sure if this paper with final
corrections is publicly available. Please contact Dr. Joel Kreisberg
for more info, <a href="mailto:drkreisberg@teleosis.org">drkreisberg@teleosis.org</a></span><span
style='color:black'><o:p></o:p></span></p>
<p class=MsoNormal><span style='color:black'> <o:p></o:p></span></p>
<p class=MsoNormal><span style='font-size:10.0pt;font-family:"Arial","sans-serif";
color:black'>I'm sorry for the long answer to your short question. Have
you registered your unwanted meds collection events/program in the National
Directory of Drug Take-Back Programs? We are releasing our Second Edition
of the National Directory with more than 400 registered events and programs
around the country. This Directory will go to the city and county health
and waste management departments. </span><span style='color:black'><o:p></o:p></span></p>
<p class=MsoNormal><span style='color:black'> <o:p></o:p></span></p>
<p class=MsoNormal><span style='font-size:10.0pt;font-family:"Arial","sans-serif";
color:black'>Matthew Mireles</span><span style='color:black'><o:p></o:p></span></p>
<p class=MsoNormal><strong><span style='font-size:10.0pt;font-family:"Arial","sans-serif";
color:black'> </span></strong><strong><span style='font-size:10.0pt;
font-family:"Arial","sans-serif"'><o:p></o:p></span></strong></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:10.0pt;font-family:"Arial","sans-serif";
color:black'>-----Original Message----- <br>
From: Marti Martz <br>
Sent: May 31, 2011 11:18 AM <br>
To: pharmwaste@lists.dep.state.fl.us <br>
Subject: [Pharmwaste] weight of packaging vs weight of pills at collection
events <br>
<br>
Hello All,<br>
I am involved in unwanted meds collection events around the Great Lakes through
a GLRI funded project titled "Undo the Great Lakes Chemical Brew: Proper
PPCP Disposal." At some of these events it is possible to separate
packaging from pills, at others it is not. I'm looking for a general consensus
on weight of pills vs. weight of packaging. Does such a formula exist?<br>
Marti Martz<br>
<br>
<br>
On 5/27/2011 10:32 AM, Tenace, Laurie wrote: </span><o:p></o:p></p>
<div>
<div>
<div>
<p class=MsoNormal style='margin-left:.5in'><span style='color:#1F497D'>Anyone
in CA want to discuss this? What will the display materials say?</span><o:p></o:p></p>
<h3 style='margin-left:.5in'>San Francisco To Launch Waste Medications Take
Back Scheme<o:p></o:p></h3>
<p style='margin-left:.5in'>On Tuesday, the San Francisco Board of Supervisors
approved proceeding with a trial program for the collection of expired and
unwanted prescription drugs. The pilot takes effect on December 1 of this year.
<o:p></o:p></p>
<p style='margin-left:.5in'>Under the plan, pharmacies will be required to post
"display materials" about the safe disposal of unused prescription
drugs by the aforementioned date. Pharmacies not complying with the require
would first receive a warning then be subject to a fine. <o:p></o:p></p>
<p style='margin-left:.5in'>The plan was approved by the San Francisco Small
Business Commission and is receiving funding by the pharmaceutical industry.
Recently enacted California SB 966, tasks CalRecycle with developing criteria
and program models for collecting and disposing of waste pharmaceuticals
statewide. <o:p></o:p></p>
<p style='margin-left:.5in'>For more information visit <a
href="http://www.sfbos.org/ftp/uploadedfiles/bdsupvrs/bosagendas/materials/bag052411_110025.pdf">http://www.sfbos.org/ftp/uploadedfiles/bdsupvrs/bosagendas/materials/bag052411_110025.pdf</a>.
<o:p></o:p></p>
<p class=MsoNormal style='margin-left:.5in'> <o:p></o:p></p>
<p class=MsoNormal style='margin-left:.5in'><span style='color:#1F497D'>Laurie</span><o:p></o:p></p>
<p class=MsoNormal><span style='font-family:"Times New Roman","serif";
color:#1F497D'> </span><o:p></o:p></p>
<p class=MsoNormal><span style='font-family:"Times New Roman","serif";
color:#1F497D'> </span><o:p></o:p></p>
<p class=MsoNormal><span style='color:#1F497D'>Laurie Tenace</span><o:p></o:p></p>
<p class=MsoNormal><span style='color:#1F497D'>Environmental Specialist</span><o:p></o:p></p>
<p class=MsoNormal><span style='color:#1F497D'>Waste Reduction Section</span><o:p></o:p></p>
<p class=MsoNormal><span style='color:#1F497D'>Florida Department of
Environmental Protection</span><o:p></o:p></p>
<p class=MsoNormal><span style='color:#1F497D'>2600 Blair Stone Rd., MS 4555</span><o:p></o:p></p>
<p class=MsoNormal><span style='color:#1F497D'>Tallahassee FL 32399-2400</span><o:p></o:p></p>
<p class=MsoNormal><span style='color:#1F497D'>P: 850.245.8759</span><o:p></o:p></p>
<p class=MsoNormal><span style='color:#1F497D'>F: 850.245.8811</span><o:p></o:p></p>
<p class=MsoNormal><span style='color:#1F497D'><a
href="mailto:Laurie.Tenace@dep.state.fl.us">Laurie.Tenace@dep.state.fl.us</a>
</span><o:p></o:p></p>
<p class=MsoNormal><span style='color:#1F497D'><a
href="http://www.dep.state.fl.us/">http://www.dep.state.fl.us/</a></span><o:p></o:p></p>
<p class=MsoNormal><span style='font-family:"Times New Roman","serif";
color:#1F497D'> </span><o:p></o:p></p>
<p class=MsoNormal><span style='font-family:"Times New Roman","serif";
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<p class=MsoNormal style='margin-bottom:12.0pt'><span style='font-size:10.0pt;
font-family:"Arial","sans-serif";color:black'><o:p> </o:p></span></p>
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<p class=MsoNormal><em><span style='font-size:10.0pt;font-family:"Arial","sans-serif";
color:black'>The Department of Environmental Protection values your feedback as
a customer. DEP Secretary Herschel T. Vinyard Jr. 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></em><span style='font-size:9.0pt;font-family:
"Courier New";color:black'><o:p></o:p></span></p>
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<pre><span style='color:black'><o:p> </o:p></span></pre><pre><span
style='color:black'>---<o:p></o:p></span></pre><pre><span style='color:black'>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.<o:p></o:p></span></pre><pre><span
style='color:black'>---<o:p></o:p></span></pre><pre><span style='color:black'>TO SUBSCRIBE, go to: <a
href="http://lists.dep.state.fl.us/cgi-bin/mailman/listinfo/pharmwaste">http://lists.dep.state.fl.us/cgi-bin/mailman/listinfo/pharmwaste</a> <o:p></o:p></span></pre><pre><span
style='color:black'>TO UNSUBSCRIBE, DO NOT REPLY TO THE LISTSERV. Please send an e-mail to <a
href="mailto:pharmwaste-unsubscribe@lists.dep.state.fl.us">pharmwaste-unsubscribe@lists.dep.state.fl.us</a> -- the subject line and body of the e-mail should be blank.<o:p></o:p></span></pre><pre><span
style='color:black'>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">http://lists.dep.state.fl.us/cgi-bin/mailman/roster/pharmwaste</a> <o:p></o:p></span></pre><pre><span
style='color:black'>FOR PROBLEMS: Contact List Administrator <a
href="mailto:Laurie.Tenace@dep.state.fl.us">Laurie.Tenace@dep.state.fl.us</a> <o:p></o:p></span></pre><pre><span
style='color:black'>SEND MAIL to the list server at: <a
href="mailto:pharmwaste@lists.dep.state.fl.us">pharmwaste@lists.dep.state.fl.us</a><o:p></o:p></span></pre>
<p class=MsoNormal style='margin-bottom:12.0pt'><span style='font-size:10.0pt;
font-family:"Arial","sans-serif";color:black'><o:p> </o:p></span></p>
<pre><span style='color:black'>-- <o:p></o:p></span></pre><pre><span
style='color:black'>----------------------------<o:p></o:p></span></pre><pre><span
style='color:black'>Marti Martz<o:p></o:p></span></pre><pre><span
style='color:black'>Pennsylvania Sea Grant<o:p></o:p></span></pre><pre><span
style='color:black'>301 Peninsula Drive, Suite 3<o:p></o:p></span></pre><pre><span
style='color:black'>Erie,Pa 16505<o:p></o:p></span></pre><pre><span
style='color:black'><a href="mailto:mam60@psu.edu">mam60@psu.edu</a><o:p></o:p></span></pre><pre><span
style='color:black'>Phone:814.217.9015<o:p></o:p></span></pre><pre><span
style='color:black'>fax 814.217.9021<o:p></o:p></span></pre><pre><span
style='color:black'>----------------------------<o:p></o:p></span></pre></blockquote>
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