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<p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";
color:#1F497D'>Jeff and all, <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 can understand anyone’s concern regarding diversion. I
have been in the medical waste industry for over 20 years in both the hauling
business, mailback, and as an independent consultant. I used to hear the same concerns
about medical waste being handed over to a truck driver –
“wouldn’t it be safer to destroy/encapsulate/burn it yourself and
put it in the trash?” As long as humans are involved in the handling of
anything of value there is the potential for diversion. How is it any safer to
hand a truckload of pharmaceuticals to a hauling company driver with no
enforcement component to his company after a takeback program than a citizen
handing a non-descript mailer to a postal worker who does? <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'>In addition, look at how those drugs get to pharmacies in the
first place. Would we suggest that the millions of prescription drugs
transported by USPS, UPS and FedEx every year to pharmacies throughout the
world be stopped – and instead hauled by independent hauling companies? <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'>The USPS handles millions of hazardous and non-hazardous,
valuable and non-valuable pieces of mail every day. I would have to ask what
controls are in place to 100% eliminate diversion by haulers, doctors
prescribing and handing out samples, grandma’s grandson stealing drugs
from her medicine cabinet, police officers in evidence rooms, and yes, common
carriers. If someone can come up with a 100% foolproof method I think we would
all gladly implement it. <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'>Non-</span><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";
color:#17365D'>controlled household drugs are solid waste and can be
incinerated at a variety of types of permitted incinerators. Our mailers
have gone through extensive evaluation by the USPS and approved based on an
extensive history of compliance and safety. They go directly to a mail
distribution center, then directly to our facility. They don’t end up at
a post office somewhere for sorting. They are received, off-loaded, caged,
scanned, and incinerated all</span><span style='font-size:11.0pt;font-family:
"Calibri","sans-serif";color:#1F497D'> by law </span><span style='font-size:
11.0pt;font-family:"Calibri","sans-serif";color:#17365D'>enforcement. Our
program is as much about safe handling and treatment as it is about source
reduction and improved outcomes.<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 is my take. We all have our own opinions based on a variety
of data as to what is best, safest, most convenient, most confidential, etc.
However, often times our opinions are based on our own personal or business
biases. I can find something wrong with any method you choose. There is no one
right way to solve the issue of unused medication disposal. My wish is that we
all could understand that we want the same thing – the safety of our
water, land, air, and citizens. Some people love the takeback idea, some
people love the mailback; some people will pay to have their drugs disposed
properly, some people will not pay. Then there are those who don’t care,
or have not bought into the fact that this is an problem worth solving. Instead
of fighting over mailback or takeback, why don’t we work toward moving
those folks who don’t want to take advantage of either to one or the
other.<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'>Thanks Jeff for bringing up the concerns, and to this list serve
for allowing us to have these discussions.<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>
<SPAN style="FONT-FAMILY: Verdana; FONT-SIZE: 10pt">
<DIV><FONT face=Verdana><FONT color=#000000></FONT></FONT> </DIV>
<DIV><FONT face=Verdana><FONT color=#000000>Jan Harris</FONT><FONT
color=#808080> |</FONT> <FONT color=#808080>Director, Environmental Health & Safety</FONT><BR></DIV></FONT>
<DIV align=left><FONT face=Verdana></FONT> </DIV>
<DIV align=left><FONT face=Verdana><FONT color=#000000>Sharps Compliance, Inc.<BR></FONT><FONT
color=#808080> | m-713-927-9956</FONT></FONT></DIV><BR>
<DIV align=left></SPAN><A
style="FONT-FAMILY: Verdana; COLOR: #808080; FONT-SIZE: 10pt; TEXT-DECORATION: none"
href="mailto:jharris@sharpsinc.com">jharris@sharpsinc.com</A> <FONT color=#808080 size=2
face=Verdana>|</FONT> <A
style="FONT-FAMILY: Verdana; COLOR: #808080; FONT-SIZE: 10pt; TEXT-DECORATION: none"
href="http://www.sharpsinc.com">http://www.sharpsinc.com</A> </DIV>
<P></P><br><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>Jeff
Hollar<br>
<b>Sent:</b> Thursday, July 07, 2011 8:54 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? </span><o:p></o:p></p>
<p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";
color:#1F497D'> </span><o:p></o:p></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?</span><o:p></o:p></p>
<p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";
color:#1F497D'> </span><o:p></o:p></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?</span><o:p></o:p></p>
<p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";
color:#1F497D'> </span><o:p></o:p></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? </span><o:p></o:p></p>
<p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";
color:#1F497D'> </span><o:p></o:p></p>
<p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";
color:#1F497D'>Warmest Regards,</span><o:p></o:p></p>
<p class=MsoNormal><span style='font-size:10.0pt;font-family:"Tahoma","sans-serif";
color:#1F497D'> </span><o:p></o:p></p>
<p class=MsoNormal><span style='font-size:10.0pt;font-family:"Tahoma","sans-serif";
color:#1F497D'>Jeff Hollar</span><o:p></o:p></p>
<div>
<p class=MsoNormal><span style='font-size:10.0pt;font-family:"Tahoma","sans-serif";
color:#1F497D'>President</span><o:p></o:p></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><o:p></o:p></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><o:p></o:p></p>
</div>
<div>
<p class=MsoNormal><span style='font-size:10.0pt;font-family:"Tahoma","sans-serif";
color:#1F497D'>Urbandale, IA 50322</span><o:p></o:p></p>
</div>
<div>
<p class=MsoNormal><span style='font-size:10.0pt;font-family:"Tahoma","sans-serif";
color:#1F497D'>515-276-5302 (general)</span><o:p></o:p></p>
</div>
<div>
<p class=MsoNormal><span style='font-size:10.0pt;font-family:"Tahoma","sans-serif";
color:#1F497D'>515-331-7310 (direct)</span><o:p></o:p></p>
<p class=MsoNormal><span style='font-size:10.0pt;font-family:"Tahoma","sans-serif";
color:#1F497D'>515-360-9785 (cell)</span><o:p></o:p></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><o:p></o:p></p>
<p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";
color:#1F497D'> </span><o:p></o:p></p>
<p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";
color:#1F497D'> </span><o:p></o:p></p>
<p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";
color:#1F497D'> </span><o:p></o:p></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</span><o:p></o:p></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>
<div>
<table class=MsoNormalTable border=0 cellspacing=0 cellpadding=0>
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<table class=MsoNormalTable border=0 cellspacing=0 cellpadding=0 width="100%"
style='width:100.0%'>
<tr>
<td style='padding:0in 0in 0in 0in'>
<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>
</td>
</tr>
</table>
</td>
</tr>
<tr>
<td style='padding:0in 0in 0in 0in'>
<p class=MsoNormal> <o:p></o:p></p>
</td>
</tr>
<tr>
<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"><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"
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>
</tr>
</table>
<p class=MsoNormal><span style='font-family:"Arial","sans-serif"'> </span><o:p></o:p></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">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">Remove</a>
this alert.<br>
<a
href="http://www.google.com/alerts?hl=en&gl=us&source=alertsmail&cd=506Kb9rPxRU&cad=CAcQARgAQOWKzvAESAE">Create</a>
another alert.<br>
<a
href="http://www.google.com/alerts/manage?hl=en&gl=us&source=alertsmail&cd=506Kb9rPxRU&cad=CAcQARgAQOWKzvAESAE">Manage</a>
your alerts.</span><o:p></o:p></p>
</div>
</div>
</div>
<p class=MsoNormal><br>
<br>
<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">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/">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/">www.safemeddisposal.com</a> <o:p></o:p></p>
</div>
<p class=MsoNormal> <o:p></o:p></p>
</div>
<P><SPAN style="FONT-FAMILY: Webdings; COLOR: green; FONT-SIZE: 10pt"><FONT
color=#808080 size=1 face=Verdana><SPAN
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style="FONT-FAMILY: 'Verdana','sans-serif'; COLOR: gray; FONT-SIZE: 7.5pt"><FONT
color=#99cc33 size=2><STRONG><FONT
color=#000000>[COLLECT/PROTECT/RESPECT]</FONT></STRONG><BR>Sharps Compliance
prevented the improper disposal of 624 million syringes from the solid waste
stream and 123,000 pounds of unused patient medications from potentially harming
our citizens and the environment.</FONT></SPAN></P>
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