<div dir="ltr">The Bay Area programs in general take <span style="font-family:Tahoma;font-size:13px"> liquids, ointments, inhalers, and aerosol cans. There is plenty of data on this in the 2009 Bay Area report as well as the SF inventory last summer. </span><div>
<span style="font-family:Tahoma;font-size:13px"><br></span></div></div><div class="gmail_extra"><br clear="all"><div><div dir="ltr"><font size="4"><span style="font-family:garamond,serif"><span style="color:rgb(0,0,0)">Dr. Joel Kreisberg, DC, </span><span style="color:rgb(0,0,0)">CCH, ACC</span> |Integrative Homeopathic Medicine |</span><span style="font-family:garamond,serif;color:rgb(0,0,0)"><a href="http://drkreisberg.com/" style="color:rgb(0,0,0)" target="_blank">drkreisberg.com</a> </span></font><span style="color:rgb(0,0,0);font-family:garamond,serif;font-size:large">|</span><font size="4"><span style="font-family:garamond,serif;color:rgb(0,0,0)"><a href="mailto:drkreisberg@joelkreisberg.com" style="color:rgb(17,85,204)" target="_blank">drkreisberg@joelkreisberg.com</a> |</span><span style="font-family:garamond,serif;color:rgb(0,0,0)">510-558-7285 Ext 102 | skype: Joel.Kreisberg</span></font><div>
<font><span style="font-family:verdana,sans-serif"><span style="color:rgb(0,0,0)"><br></span></span></font></div><div><font><span style="font-family:verdana,sans-serif"><br><br></span></font></div></div></div>
<br><br><div class="gmail_quote">On Wed, Jun 4, 2014 at 7:31 AM, Ed Gottlieb <span dir="ltr"><<a href="mailto:egottlieb@cityofithaca.org" target="_blank">egottlieb@cityofithaca.org</a>></span> wrote:<br><blockquote class="gmail_quote" style="margin:0 0 0 .8ex;border-left:1px #ccc solid;padding-left:1ex">
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<div>Hi pharmwaste listserv,</div>
<div> </div>
<div>All drop-box programs list items that are accepted and items that aren't. </div>
<div> </div>
<div>Sharps, bio-hazardous waste, chemotherapy medications, and thermometers are almost always listed as not accepted. Some programs specifically restrict less (or more!) obvious items such as: trash, mail, and guns.</div>
<div>I think we can all agree there are good reasons for not accepting any of these items. </div>
<div> </div>
<div>What about liquids, ointments, inhalers, and aerosol cans? I regularly see these on "not accepted" lists. </div>
<div> </div>
<div>Most boxes have internal, removable totes that should be lined with a plastic bag. Liquid spills should not be a problem from the clean-up perspective. I've not seen any evidence that spilled liquids can cause dangerous chemical reactions to occur, an explanation I was given for one programs ban. Are there documented problems caused by a spill of hydrogen peroxide, alcohol, or any other liquid medication? Can explosive conditions develop? Will active ingredients volatilize and contaminate the air if spilled alcohol dissolves medication it comes in contact with? </div>
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<div>Do inhalers and other aerosol cans actually cause problems in a drop-box or at the incinerator? </div>
<div> </div>
<div>I believe that most programs copy their "not accepted" list from an existing program. Maybe some of these restricted items could be safely accepted? Or, is it wiser to keep restricting them to avoid a possible hazard, however unlikely?</div>
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<div>With luck, pharmacies will soon be launching their own programs, greatly expanding the accessability of take-back programs. Can we offer them guidance on this issue? Your thoughts are appreciated.</div>
<div> </div>
<div>Ed</div><span class="HOEnZb"><font color="#888888">
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<p style="MARGIN:5pt 0in" class="MsoNormal">Ed Gottlieb<br>Chair, Coalition for Safe Medication Disposal <br>Industrial Pretreatment Coordinator <br>Ithaca Area Wastewater Treatment Facility<br>525 3rd Street<br>Ithaca, NY 14850<br>
<a href="tel:%28607%29%20273-8381" value="+16072738381" target="_blank">(607) 273-8381</a><br>fax: <a href="tel:%28607%29%20273-8433" value="+16072738433" target="_blank">(607) 273-8433</a></p></div>
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