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<p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";
color:#1F497D'>Jeff, I agree that diversion can also happen with a mailback
program. What we have found in Washington is that following strict protocols
prevents diversion – here is more information on how these protocols work:
<a href="http://www.takebackyourmeds.org/why/how-medicine-take-back-works">http://www.takebackyourmeds.org/why/how-medicine-take-back-works</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>
<p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";
color:#1F497D'>Cheri<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>
<p class=MsoNormal><b><span style='font-size:10.0pt;font-family:"Arial","sans-serif";
color:#1F497D'>Cheri Grasso </span></b><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:7.5pt;font-family:"Arial","sans-serif";
color:#1F497D'>Pharmaceuticals Project </span><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:7.5pt;font-family:"Arial","sans-serif";
color:#1F497D'>Local Hazardous Waste Management Program in King County</span><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:7.5pt;font-family:"Arial","sans-serif";
color:#1F497D'>130 Nickerson Street, Suite 100 | Seattle, WA 98109 |
206-263-3089</span><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:7.5pt;font-family:"Arial","sans-serif";
color:#1F497D'>Local Governments for Health and the Environment <a
href="www.lhwmp.org%20"><span style='color:blue'>www.lhwmp.org</span></a> <o:p></o:p></span></p>
<p class=MsoNormal><span style='font-size:7.5pt;font-family:"Arial","sans-serif";
color:#1F497D'>Protect our Kids, Families, the Environment <a
href="www.takebackyourmeds.org"><span style='color:blue'>www.takebackyourmeds.org</span></a></span><span
style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'><o:p></o:p></span></p>
</div>
<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"'> Jeff Hollar
[mailto:jhollar@pwaste.com] <br>
<b>Sent:</b> Thursday, July 07, 2011 6:54 AM<br>
<b>To:</b> 'Stevan Gressitt'; 'pharmwaste'; 'rxnews'<br>
<b>Subject:</b> RE: [Pharmwaste] Fwd: Google Alert - unused medicine disposal<o:p></o:p></span></p>
</div>
</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'>Regarding mailback programs: What about the potential of
theft in transit? Mailmen, sorters, etc. What controls in place to
100% eliminate this? If someone diverts one mail back pouch, will this be
caught? What if someone opens one up and takes 5 pills from a
bottle? What if someone puts the mail back pouch in their mailbox and it
gets swiped before the mailman picks it up? How do the various mailback
programs address these diversion issues? <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'>On a related note, I am aware of at least one mailback program
that is not permitted to take back DEA controlled substances. Obviously
DEA controls will make it through. What happens when this mailback
program facility receives DEA controls? How can this even be monitored if
the container contents being shipped are not 100% examined?<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'>Regarding disposal: If these pharmaceuticals came from a
non-household entity, the RCRA waste would likely have to be segregated and
destroyed in a RCRA incinerator. What is the typical disposal method used
in mailback programs? WTE Incinerator, RCRA Incinerator, autoclave,
landfilled?<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'>I would like to learn more about the issues I raised
above. Can those of you involved with the various mailback programs shed
some light on these questions? <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'>Warmest Regards,<o:p></o:p></span></p>
<p class=MsoNormal><span style='font-size:10.0pt;font-family:"Tahoma","sans-serif";
color:#1F497D'><o:p> </o:p></span></p>
<p class=MsoNormal><span style='font-size:10.0pt;font-family:"Tahoma","sans-serif";
color:#1F497D'>Jeff Hollar</span><span style='font-size:11.0pt;font-family:
"Calibri","sans-serif";color:#1F497D'><o:p></o:p></span></p>
<div>
<p class=MsoNormal><span style='font-size:10.0pt;font-family:"Tahoma","sans-serif";
color:#1F497D'>President</span><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";
color:#1F497D'><o:p></o:p></span></p>
</div>
<div>
<p class=MsoNormal><b><span style='font-size:10.0pt;font-family:"Tahoma","sans-serif";
color:navy'>PharmWaste Technologies, Inc.</span></b><span
style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'><o:p></o:p></span></p>
</div>
<div>
<p class=MsoNormal><span style='font-size:10.0pt;font-family:"Tahoma","sans-serif";
color:#1F497D'>4164 NW Urbandale Dr., Ste A</span><span style='font-size:11.0pt;
font-family:"Calibri","sans-serif";color:#1F497D'><o:p></o:p></span></p>
</div>
<div>
<p class=MsoNormal><span style='font-size:10.0pt;font-family:"Tahoma","sans-serif";
color:#1F497D'>Urbandale, IA 50322</span><span style='font-size:11.0pt;
font-family:"Calibri","sans-serif";color:#1F497D'><o:p></o:p></span></p>
</div>
<div>
<p class=MsoNormal><span style='font-size:10.0pt;font-family:"Tahoma","sans-serif";
color:#1F497D'>515-276-5302 (general)</span><span style='font-size:11.0pt;
font-family:"Calibri","sans-serif";color:#1F497D'><o:p></o:p></span></p>
</div>
<div>
<p class=MsoNormal><span style='font-size:10.0pt;font-family:"Tahoma","sans-serif";
color:#1F497D'>515-331-7310 (direct)<o:p></o:p></span></p>
<p class=MsoNormal><span style='font-size:10.0pt;font-family:"Tahoma","sans-serif";
color:#1F497D'>515-360-9785 (cell)</span><span style='font-size:11.0pt;
font-family:"Calibri","sans-serif";color:#1F497D'><o:p></o:p></span></p>
</div>
<p class=MsoNormal><a href="http://www.pwaste.com/"
title="http://www.pwaste.com/"><span style='font-size:10.0pt;font-family:"Tahoma","sans-serif"'>www.pwaste.com</span></a><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'><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'><o:p> </o:p></span></p>
<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"'> Stevan Gressitt <a
href="mailto:[mailto:gressitt@gmail.com]">[mailto:gressitt@gmail.com]</a> <br>
<b>Sent:</b> Tuesday, July 05, 2011 5:55 PM<br>
<b>To:</b> pharmwaste; rxnews<br>
<b>Subject:</b> [Pharmwaste] Fwd: Google Alert - unused medicine disposal<o:p></o:p></span></p>
</div>
<p class=MsoNormal><o:p> </o:p></p>
<p class=MsoNormal style='margin-bottom:12.0pt'>Mailback would have precluded
this problem<o:p></o:p></p>
<div>
<p class=MsoNormal style='margin-bottom:12.0pt'>---------- Forwarded message
----------<br>
From: <b>Google Alerts</b> <<a href="mailto:googlealerts-noreply@google.com">googlealerts-noreply@google.com</a>><br>
Date: Tue, Jul 5, 2011 at 5:43 PM<br>
Subject: Google Alert - unused medicine disposal<br>
To: <a href="mailto:gressitt@gmail.com">gressitt@gmail.com</a><o:p></o:p></p>
<div>
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<p class=MsoNormal><b><span style='font-size:10.0pt'>News</span></b><o:p></o:p></p>
</td>
<td width="70%" style='width:70.0%;padding:0in 0in 0in 0in'>
<p class=MsoNormal align=right style='text-align:right'><b><span
style='font-size:10.0pt'>1</span></b><span style='font-size:10.0pt'> new
result for <b>unused medicine disposal</b></span><o:p></o:p></p>
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<p class=MsoNormal> <o:p></o:p></p>
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<td style='padding:0in 6.0pt 12.0pt 6.0pt'>
<p class=MsoNormal><a
href="http://www.google.com/url?sa=X&q=http://beaconnews.suntimes.com/news/6358045-418/accused-yorkville-officer-takes-unpaid-leave.html&ct=ga&cad=CAcQARgAIAAoATAAOABA5YrO8ARIAVAAWABiBWVuLVVT&cd=506Kb9rPxRU&usg=AFQjCNHLWhpF3cML2daOKmUAOJ3ZsIiQng"
target="_blank"><span style='color:#1111CC'>Accused Yorkville officer takes
unpaid leave</span></a><br>
<span style='font-size:10.0pt'>Chicago Sun-Times<br>
Prosecutors claim that Delaney took prescription medicine for his personal
use from the supplies turned in by residents as part of an <b>unused
medication disposal</b> program. He is scheduled to make his first appearance
in court today. <b>...</b><br>
<a
href="http://www.google.com/url?sa=X&q=http://news.google.com/news/story%3Fncl%3Dhttp://beaconnews.suntimes.com/news/6358045-418/accused-yorkville-officer-takes-unpaid-leave.html%26hl%3Den%26geo%3Dus&ct=ga&cad=CAcQARgAIAAoBjAAOABA5YrO8ARIAVAAWABiBWVuLVVT&cd=506Kb9rPxRU&usg=AFQjCNFzJphdvxpixG92roh6mgxa275I4A"
target="_blank"
title="http://news.google.com/news/story?ncl=http://beaconnews.suntimes.com/news/6358045-418/accused-yorkville-officer-takes-unpaid-leave.html&hl=en&geo=us"><span
style='color:#228822'>See all stories on this topic »</span></a></span><o:p></o:p></p>
</td>
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<p class=MsoNormal><span style='font-family:"Arial","sans-serif"'><o:p> </o:p></span></p>
<div class=MsoNormal align=center style='text-align:center'><span
style='font-family:"Arial","sans-serif"'>
<hr size=1 width="100%" noshade style='color:#CCCCCC' align=center>
</span></div>
<p class=MsoNormal><span style='font-size:10.0pt;font-family:"Arial","sans-serif"'>Tip:
Use quotes ("like this") around a set of words in your query to match
them exactly. <a
href="http://www.google.com/support/websearch/bin/answer.py?answer=136861&hl=en&source=alertsmail&cd=506Kb9rPxRU&cad=CAcQARgAQOWKzvAESAE"
target="_blank">Learn more</a>.</span><span style='font-family:"Arial","sans-serif"'><br>
<br>
</span><span style='font-size:10.0pt;font-family:"Arial","sans-serif"'><a
href="http://www.google.com/alerts/remove?hl=en&gl=us&source=alertsmail&s=AB2Xq4gFWqYoaePpTBqWBdAM9CT2lCybXFzgJYc&cd=506Kb9rPxRU&cad=CAcQARgAQOWKzvAESAE"
target="_blank">Remove</a> this alert.<br>
<a
href="http://www.google.com/alerts?hl=en&gl=us&source=alertsmail&cd=506Kb9rPxRU&cad=CAcQARgAQOWKzvAESAE"
target="_blank">Create</a> another alert.<br>
<a
href="http://www.google.com/alerts/manage?hl=en&gl=us&source=alertsmail&cd=506Kb9rPxRU&cad=CAcQARgAQOWKzvAESAE"
target="_blank">Manage</a> your alerts.</span><span style='font-family:"Arial","sans-serif"'><o:p></o:p></span></p>
</div>
</div>
</div>
<p class=MsoNormal><br>
<br clear=all>
<br>
-- <o:p></o:p></p>
<div>
<p class=MsoNormal>Stevan Gressitt, M.D.<br>
Faculty Associate, University of Maine Center on Aging<br>
Academic Member, Athens Institute for Education and Research<o:p></o:p></p>
</div>
<div>
<p class=MsoNormal>Athens, Greece<o:p></o:p></p>
</div>
<div>
<p class=MsoNormal>Founding Director, International Institute for
Pharmaceutical 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 <o:p></o:p></p>
</div>
<div>
<p class=MsoNormal><a href="http://www.benzos.une.edu/" target="_blank">www.benzos.une.edu</a>
<o:p></o:p></p>
</div>
<div>
<p class=MsoNormal style='margin-bottom:12.0pt'><a
href="http://www.safemeddisposal.com/" target="_blank">www.safemeddisposal.com</a>
<o:p></o:p></p>
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<p class=MsoNormal><o:p> </o:p></p>
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