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<p class="MsoNormal"><span style="font-size:11.0pt;font-family:"Calibri","sans-serif";
color:#1F497D">Jeff,<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">Here’s what our
<a href="http://www.calrecycle.ca.gov/Publications/General/2011008.pdf">Report to the Legislature Recommendations for Home-Generated Pharmaceutical Collection Programs in California</a> said about mailback security:
<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" style="margin-left:.5in"><span style="font-size:11.0pt">The following mail-back-related example of potential illegal drug diversion was not part of any official collection program. However, it does indicate the security concerns surrounding
such programs even though the USPS boasts a 94 percent conviction rate for crimes that range far afield from stolen mail or forged money orders.</span><span style="font-size:7.0pt">53
</span><span style="font-size:11.0pt">The USPS investigated multiple reports of prescription medication mailed to veterans from the Veterans Administration that disappeared from a South Sacramento post office.</span><span style="font-size:7.0pt">54</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:11.0pt;font-family:"Calibri","sans-serif";
color:#1F497D"><o:p> </o:p></span></p>
<p class="MsoNormal" style="margin-left:1.0in"><span style="font-size:7.0pt">53 </span>
<span style="font-size:10.0pt">Sweeney, Paul, “Delivering evidence: not just the mail; The FBI and state attorneys general usually get the credit for ferreting out financial fraud. But there's an elite unit that doesn't get much notice--and they work for the
U.S. Postal Service.” Financial Executive, December 1, 2006, Available: <a href="http://www.allbusiness.com/finance-insurance/3998383-1.html">
http://www.allbusiness.com/finance-insurance/3998383-1.html</a>. <o:p></o:p></span></p>
<p class="MsoNormal" style="margin-left:1.0in"><span style="font-size:10.0pt"><o:p> </o:p></span></p>
<p class="MsoNormal" style="margin-left:1.0in"><span style="font-size:7.0pt">54 </span>
<span style="font-size:10.0pt">Warren, George, “Prescription narcotics vanish from Sacramento post office,” ABC News Release, April 6, 2010, Available:
<a href="http://www.news10.net/news/story.aspx?storyid=78845&catid=2">http://www.news10.net/news/story.aspx?storyid=78845&catid=2</a></span><span style="font-size:11.0pt">.
<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:11.0pt"><o:p> </o:p></span></p>
<p class="Default" style="margin-left:.5in"><span style="font-size:11.0pt">The <b>
U.S. Postal Service (USPS) Prescription Mail Back Pilot Program </b>is intended to provide an estimated 780,000 veterans in Baltimore, Md., Washington, D.C., and West Virginia the opportunity to safely dispose of expired and unused prescriptions and help the
environment. The program is being administered by the USPS and the U.S. Department of Veterans Affairs and allows veterans to mail outdated, unwanted medicine to federally-approved facilities where it is safely destroyed. Veterans receive specially designed,
postage-paid envelopes and instructions with their prescription fulfillment. Expired and unused pharmaceuticals placed in the special packaging can be dropped in familiar blue USPS collection boxes or at post offices. The envelopes are delivered to facilities
regulated and approved by the U.S. Environmental Protection Agency (EPA) and DEA. Pharmaceuticals from this and other similar mail-back initiatives are destroyed in accordance with EPA and DEA standards, including cataloguing and use of incineration, chemical
or thermal processes.</span><span style="font-size:7.0pt">17 <o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:11.0pt"><o:p> </o:p></span></p>
<p class="MsoNormal" style="margin-left:1.0in"><span style="font-size:7.0pt">17 </span>
<span style="font-size:10.0pt">Drug Take-Back Network, <i>Postal Service Expands Prescription Mail Back,
</i>April 8, 2010 Accessed on September 15, 2010 <u>http://www.takebacknetwork.com/news_t.php#
</u></span> <span style="font-size:11.0pt"><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">Last I heard, Sharps Compliance mailers go straight to the incinerator with a law enforcement witness. Many program managers would like to be able to use
common carriers to cut down on costs but are not allowed at least in California.
<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, I hadn’t seen your “How Medicine Take-Back Works” site before – very nice.
<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">Mr. Burke Lucy<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:11.0pt;font-family:"Calibri","sans-serif";
color:#1F497D">Integrated Waste Management Specialist<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:11.0pt;font-family:"Calibri","sans-serif";
color:#1F497D">Department of Resources Recycling and Recovery (CalRecycle)<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:11.0pt;font-family:"Calibri","sans-serif";
color:#1F497D">1001 I Street, PO Box 4025<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:11.0pt;font-family:"Calibri","sans-serif";
color:#1F497D">Sacramento, CA 95812<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:11.0pt;font-family:"Calibri","sans-serif";
color:#1F497D">Burke.Lucy@CalRecycle.ca.gov<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:11.0pt;font-family:"Calibri","sans-serif";
color:#1F497D">916.341.6592
</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: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>Grasso, Cheri<br>
<b>Sent:</b> Thursday, July 07, 2011 9:03 AM<br>
<b>To:</b> 'Jeff Hollar'; '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">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">www.lhwmp.org</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">www.takebackyourmeds.org</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>
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<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>
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<p class="MsoNormal"><b><span style="font-size:10.0pt">News</span></b><o:p></o:p></p>
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<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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<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>
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<br>
-- <o:p></o:p></p>
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<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>
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<p class="MsoNormal">Athens, Greece<o:p></o:p></p>
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<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>
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<p class="MsoNormal"><a href="http://www.benzos.une.edu/" target="_blank">www.benzos.une.edu</a>
<o:p></o:p></p>
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<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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