My curiosity is raised. what specifically would the impact of that one dose be on a septic tank/leech field?<br><br><div class="gmail_quote">On Mon, Jul 2, 2012 at 7:36 PM, Jim Mullowney <span dir="ltr"><<a href="mailto:jmullowney@pharma-cycle.com" target="_blank">jmullowney@pharma-cycle.com</a>></span> wrote:<br>
<blockquote class="gmail_quote" style="margin:0 0 0 .8ex;border-left:1px #ccc solid;padding-left:1ex">There is no established time weighted average exposure allowed for cytotoxins, OSHA is Zero exposure. The bigger problem is for about 25 of the drugs the patient will excrete a large portion of the drug in the active form, so the guy cleaning the toilet or changing the sheets is heavily exposed. How about a patient on Cyclophosphamide who will get 4 grams of the drug injected and 1 gram will be excreted in 24 hours ( estimated one liter of urine in 24 hours that is 1000 ppm). That is a lot of a chemical made by a guy in a spacesuit to send someone home to his family without even telling him. The story gets worse if the guy is on a septic system and a well.<br>
Nice work Niosh, OSHA needs to step it up a bit and the EPA should recognize that "drugs are chemicals too". Cyclophosphamide (U058) breaks down into Acrolein (P003).<br>
What are we thinking.<br>
<br>
Jim Mullowney<br>
<br>
-----Original Message-----<br>
From: <a href="mailto:pharmwaste-bounces@lists.dep.state.fl.us">pharmwaste-bounces@lists.dep.state.fl.us</a> [mailto:<a href="mailto:pharmwaste-bounces@lists.dep.state.fl.us">pharmwaste-bounces@lists.dep.state.fl.us</a>] On Behalf Of Matthew C. Mireles<br>
Sent: Monday, July 02, 2012 4:40 PM<br>
To: Jeff Hollar; <a href="mailto:pharmwaste@lists.dep.state.fl.us">pharmwaste@lists.dep.state.fl.us</a><br>
Subject: Re: [Pharmwaste] NIOSH Update<br>
<br>
Jeff, many thanks for this info. Exposure to hazardous materials is measured in time weighted average (TWA), FYI.<br>
<br>
Matthew Mireles<br>
<br>
<br>
-----Original Message-----<br>
>From: Jeff Hollar <<a href="mailto:jhollar@pwaste.com">jhollar@pwaste.com</a>><br>
>Sent: Jul 2, 2012 3:22 PM<br>
>To: <a href="mailto:pharmwaste@lists.dep.state.fl.us">pharmwaste@lists.dep.state.fl.us</a><br>
>Subject: [Pharmwaste] NIOSH Update<br>
><br>
>We have just updated our database to reflect NIOSH's recent additions<br>
>(Table<br>
>1) and deletions (Table 2) to the NIOSH hazardous drug list. Waste-ID<br>
>subscribers will notice these changes on their next output. A direct<br>
>link to the recent changes can be found:<br>
><a href="http://www.cdc.gov/niosh/docs/2012-150/pdfs/2012-150.pdf" target="_blank">http://www.cdc.gov/niosh/docs/2012-150/pdfs/2012-150.pdf</a><br>
><br>
>Jeff Hollar<br>
>President<br>
>PharmWaste Technologies, Inc.<br>
>Urbandale, IA 50322<br>
><a href="tel:515-276-5302" value="+15152765302">515-276-5302</a> (general)<br>
><a href="tel:515-331-7310" value="+15153317310">515-331-7310</a> (direct)<br>
><a href="tel:515-360-9785" value="+15153609785">515-360-9785</a> (cell)<br>
><a href="http://www.pwaste.com" target="_blank">www.pwaste.com</a><br>
><br>
><br>
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</blockquote></div><br><br clear="all"><br>-- <br>Stevan Gressitt, M.D., D.F.A.P.A.<br>Faculty Associate, University of Maine Center on Aging<br>Academic Member, Athens Institute for Education and Research<br>Athens, Greece<br>
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>
314 Clark Road<br>Unity, Maine, 04988<br><a href="mailto:gressitt@gmail.com" target="_blank">gressitt@gmail.com</a> <br>Cell: 207-441-0291<br><a href="http://www.benzos.une.edu" target="_blank">www.benzos.une.edu</a><br>
<a href="http://www.safemeddisposal.com" target="_blank">www.safemeddisposal.com</a><br>