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<p class="MsoNormal" style="margin-top:0in"><span style="color:#1F497D">Matthew, et al<o:p></o:p></span></p>
<p class="MsoNormal" style="margin-top:0in"><span style="color:#1F497D">I’ve recently gained some insight into the animal production industry through consulting work. While animal production consumes a great deal of antibiotics and other pharmaceuticals it
does a better job of keeping them out of the drinking water supply than most municipalities do. The overwhelming majority of animal waste water systems are captive and have no direct connection to either surface or ground water. Manures are generally converted
to sterile composts before land application. When done properly the composting and application process destroys a significant portion of the pharms in the manure. Weathering takes care of most of the rest upon application. Modern feed lots maintain a manure
pack seal that prevents infiltration of wastes into groundwater and the waste lagoons are lined to prevent leakage. It’s not perfect but at least they’re trying.<o:p></o:p></span></p>
<p class="MsoNormal" style="margin-top:0in"><span style="color:#1F497D"><o:p> </o:p></span></p>
<p class="MsoNormal" style="margin-top:0in"><span style="color:#1F497D">Fred <o:p></o:p></span></p>
<p class="MsoNormal"><span style="color:#1F497D"><o:p> </o:p></span></p>
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<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""> pharmwaste-bounces@lists.dep.state.fl.us [mailto:pharmwaste-bounces@lists.dep.state.fl.us]
<b>On Behalf Of </b>Gilliam, Allen<br>
<b>Sent:</b> Monday, September 17, 2012 11:40 AM<br>
<b>To:</b> Matthew C. Mireles; 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>
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<p class="MsoNormal"><o:p> </o:p></p>
<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>
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<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
<a href="mailto:[mailto:mirelesmc@earthlink.net]">[mailto:mirelesmc@earthlink.net]</a>
<br>
<b>Sent:</b> Monday, September 17, 2012 12:35 PM<br>
<b>To:</b> Gilliam, Allen; Tenace,Laurie; <a href="mailto:pharmwaste@lists.dep.state.fl.us">
pharmwaste@lists.dep.state.fl.us</a><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>
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<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>
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<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>
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<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>
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