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</o:shapelayout></xml><![endif]--></head><body bgcolor=white lang=EN-US link=blue vlink=purple><div class=WordSection1><p class=MsoNormal><span style='font-size:12.0pt;font-family:"Arial","sans-serif";color:#1F497D'>Wonder where the author of the below editorial got the idea that, “Importantly, increases in both sales and prescriptions dispensed are positive signs for a struggling pharmaceutical industry.”? Who’s struggling??? The article’s Table 4 indicates the Top Pharmaceutical Companies had drug sales over 167 billion dollars in 2011.<o:p></o:p></span></p><p class=MsoNormal><span style='font-size:12.0pt;font-family:"Arial","sans-serif";color:#1F497D'>Wonder how much of that is going to corporate officials/shareholders vs R&D?<o:p></o:p></span></p><p class=MsoNormal><span style='font-size:12.0pt;font-family:"Arial","sans-serif";color:#1F497D'>And here we are struggling to figure out which drop boxes to buy with whose money…<o:p></o:p></span></p><p class=MsoNormal><span style='font-size:12.0pt;font-family:"Arial","sans-serif";color:#1F497D'>“It’s a mad, mad, mad, mad world” out there Jimmy Durante, Sid Caesar and cast!<o:p></o:p></span></p><p class=MsoNormal><span style='font-size:12.0pt;font-family:"Arial","sans-serif";color:#1F497D'>Allen g<o:p></o:p></span></p><p class=MsoNormal><span style='font-size:12.0pt;font-family:"Arial","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 style='margin-top:0in'><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"'> Matthew C. Mireles [mailto:mirelesmc@earthlink.net] <br><b>Sent:</b> Monday, September 17, 2012 12:35 PM<br><b>To:</b> Gilliam, Allen; Tenace,Laurie; pharmwaste@lists.dep.state.fl.us<br><b>Cc:</b> Elizabeth Smith; Elizabeth A. Smith PhD<br><b>Subject:</b> Re: [Pharmwaste] RE: Record 4.02 Billion Prescriptions in US in 2011<o:p></o:p></span></p></div></div><p><span style='font-size:10.0pt;font-family:"Arial","sans-serif";color:black'>Allen, it's quite alarming, and we're not even including prescription drugs (antibiotics, steroids, etc.) given to livestock in our agricultural industry. This stat supports the figure that Americans consume about 50% of world's production of pharmaceuticals annually (approx $300 billion; global production is about $600 billion). We discussed this at your Region 6 meeting. Of course, counterfeit drugs and illicits are on the rise too. Police departments are reporting more robbery at pharmacies, not for cash but for narcotics.</span><span style='font-size:10.0pt;font-family:"Arial","sans-serif";color:#1F497D'><o:p></o:p></span></p><p><span style='font-size:10.0pt;font-family:"Arial","sans-serif";color:black'>Matthew Mireles</span><span style='font-size:10.0pt;font-family:"Arial","sans-serif";color:#1F497D'><o:p></o:p></span></p><blockquote style='border:none;border-left:solid blue 1.5pt;padding:0in 0in 0in 4.0pt;margin-left:0in;margin-top:5.0pt;margin-bottom:5.0pt'><p class=MsoNormal style='margin-top:0in'><span style='font-size:10.0pt;font-family:"Arial","sans-serif";color:black'>-----Original Message----- <br>From: "Gilliam, Allen" <br>Sent: Sep 17, 2012 8:01 AM <br>To: "Tenace, Laurie" , "<a href="mailto:pharmwaste@lists.dep.state.fl.us">pharmwaste@lists.dep.state.fl.us</a>" <br>Subject: [Pharmwaste] RE: Record 4.02 Billion Prescriptions in US in 2011 <o:p></o:p></span></p><p class=MsoNormal><span style='font-size:12.0pt;font-family:"Arial","sans-serif";color:#1F497D'>If anyone, I’d bet Dr. Mireles is graphing this trend. I’m thinking of one of his presentations, where I think he mentioned the trend is now exponential. I’d like to see a graph of prescriptions written over the last ten, maybe twenty yrs if the data was being tracked that long ago.</span><span style='color:black'><o:p></o:p></span></p><p class=MsoNormal><span style='font-size:12.0pt;font-family:"Arial","sans-serif";color:#1F497D'>Allen Gilliam</span><span style='color:black'><o:p></o:p></span></p><p class=MsoNormal><span style='font-size:12.0pt;font-family:"Arial","sans-serif";color:#1F497D'>ADEQ State Pretreatment Coordinator</span><span style='color:black'><o:p></o:p></span></p><p class=MsoNormal><b><span style='font-size:10.0pt;font-family:"Tahoma","sans-serif";color:black'>From:</span></b><span style='font-size:10.0pt;font-family:"Tahoma","sans-serif";color:black'> <a href="mailto:pharmwaste-bounces@lists.dep.state.fl.us">pharmwaste-bounces@lists.dep.state.fl.us</a> <a href="mailto:[mailto:pharmwaste-bounces@lists.dep.state.fl.us]">[mailto:pharmwaste-bounces@lists.dep.state.fl.us]</a> <b>On Behalf Of </b>Tenace, Laurie<br><b>Sent:</b> Friday, September 14, 2012 2:14 PM<br><b>To:</b> <a href="mailto:pharmwaste@lists.dep.state.fl.us">pharmwaste@lists.dep.state.fl.us</a><br><b>Subject:</b> [Pharmwaste] Record 4.02 Billion Prescriptions in US in 2011</span><span style='color:#1F497D'><o:p></o:p></span></p><div><div><div><p class=MsoNormal><span style='font-family:"Times New Roman","serif";color:#1F497D'>Pardon any cross posting. I thought this data might be interesting to Pharmwaste members.</span><span style='color:black'><o:p></o:p></span></p><p class=MsoNormal><span style='font-family:"Times New Roman","serif";color:#1F497D'>Laurie</span><span style='color:black'> </span><span style='color:#1F497D'><o:p></o:p></span></p><p style='mso-margin-top-alt:0in;margin-right:0in;margin-bottom:10.0pt;margin-left:.5in'><strong><span style='font-size:10.0pt;font-family:"Verdana","sans-serif";color:black'>Record 4.02 billion prescriptions in United States in 2011</span></strong><span style='color:black'><o:p></o:p></span></p><p style='mso-margin-top-alt:0in;margin-right:0in;margin-bottom:10.0pt;margin-left:.5in'><span style='font-size:10.0pt;font-family:"Verdana","sans-serif";color:black'>People in the United States took more prescription drugs than ever last year, with the number of prescriptions increasing from 3.99 billion (with a cost of $308.6 billion) in 2010 to 4.02 billion (with a cost of $319.9 billion) in 2011. Those numbers and others appear in an annual profile of top prescription medicines published in the journal <i>ACS Chemical Neuroscience</i>.</span><span style='color:black'><o:p></o:p></span></p><p style='mso-margin-top-alt:0in;margin-right:0in;margin-bottom:10.0pt;margin-left:.5in'><span style='font-size:10.0pt;font-family:"Verdana","sans-serif";color:black'>Journal Editor-in-Chief Craig W. Lindsley analyzed data on 2011 drugs with a focus on medications for central nervous system (CNS) disorders. So-called antipsychotic medicines - including those used to treat schizophrenia, bipolar disorder, obsessive-compulsive disorder, Tourette syndrome and some forms of depression - ranked as the fifth most-prescribed class of drugs by sales. Antidepressants, for conditions that include depression and anxiety, ranked No. 7.</span><span style='color:black'><o:p></o:p></span></p><p class=MsoNormal style='margin-left:40.8pt'><span style='color:black'>For more details see, <a href="http://portal.acs.org/portal/acs/corg/content?_nfpb=true&_pageLabel=PP_ARTICLEMAIN&node_id=223&content_id=CNBP_030644&use_sec=true&sec_url_var=region1&__uuid=a606ceb0-866f-4635-96f3-def3a5bebd3e" target="_blank">http://portal.acs.org/portal/acs/corg/content?_nfpb=true&_pageLabel=PP_ARTICLEMAIN&node_id=223&content_id=CNBP_030644&use_sec=true&sec_url_var=region1&__uuid=a606ceb0-866f-4635-96f3-def3a5bebd3e</a> </span><span style='color:#1F497D'><o:p></o:p></span></p><p class=MsoNormal><span style='font-size:12.0pt;font-family:"Arial","sans-serif";color:#1F497D'><o:p> </o:p></span></p><p class=MsoNormal style='mso-margin-top-alt:0in;margin-right:0in;margin-bottom:0in;margin-left:.5in;margin-bottom:.0001pt'><b><span style='color:#4F6228'>Beth Eckl</span></b><span style='color:black'><o:p></o:p></span></p><p class=MsoNormal style='mso-margin-top-alt:0in;margin-right:0in;margin-bottom:0in;margin-left:.5in;margin-bottom:.0001pt'><b><span style='color:#4F6228'>Director, Environmental Purchasing Program</span></b><span style='color:black'><o:p></o:p></span></p><p class=MsoNormal style='mso-margin-top-alt:0in;margin-right:0in;margin-bottom:0in;margin-left:.5in;margin-bottom:.0001pt'><b><span style='font-size:14.0pt;color:#4F6228'> </span></b><span style='color:black'><o:p></o:p></span></p><p class=MsoNormal style='mso-margin-top-alt:0in;margin-right:0in;margin-bottom:0in;margin-left:.5in;margin-bottom:.0001pt'><span style='color:#4F6228'>Tel 866.598.2240</span><span style='color:black'><o:p></o:p></span></p><p class=MsoNormal style='mso-margin-top-alt:0in;margin-right:0in;margin-bottom:0in;margin-left:.5in;margin-bottom:.0001pt'><span style='color:#4F6228'><a href="mailto:beckl@practicegreenhealth.org" target="_blank">beckl@practicegreenhealth.org</a></span><span style='color:black'><o:p></o:p></span></p><p class=MsoNormal style='mso-margin-top-alt:0in;margin-right:0in;margin-bottom:0in;margin-left:40.8pt;margin-bottom:.0001pt'><u><span style='color:#1F497D'><a href="http://www.practicegreenhealth.org" target="_blank">www.practicegreenhealth.org</a> </span></u><span style='color:#1F497D'><o:p></o:p></span></p></div></div></div></blockquote></div></body></html>