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</o:shapelayout></xml><![endif]--></head><body lang=EN-US link=blue vlink=purple><div class=WordSection1><p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'>Thank you Joel.<o:p></o:p></span></p><p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'>I think it is time to talk about cytotoxic drug control and as gross as it sounds the only source of cytotoxic waste in the water is from patient excretion. We put a car on the moon 40 years ago, we can collect pee in a cup.<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'>Check out <a href="http://www.cytotoxicsafety.org">www.cytotoxicsafety.org</a> and look for the World Health Organization’s report. The EU hired Deloitte to do a comprehensive study with 500+ references that clearly state the problem. I am attaching that report. <o:p></o:p></span></p><p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'>We can do this.<o:p></o:p></span></p><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>Joel Kreisberg<br><b>Sent:</b> Monday, August 18, 2014 4:39 PM<br><b>To:</b> pharmwaste@lists.dep.state.fl.us<br><b>Subject:</b> [Pharmwaste] Alameda County Safe Medication Disposal Assessment<o:p></o:p></span></p><p class=MsoNormal><o:p> </o:p></p><div><div><div><p class=MsoNormal style='margin-bottom:12.0pt'>Hey Folks:<o:p></o:p></p></div><p class=MsoNormal style='margin-bottom:12.0pt'>You can read the full report at <br><br><a href="http://www.teleosis.org/the-alameda-county-medication-disposal-initiative-assessment/">http://www.teleosis.org/the-alameda-county-medication-disposal-initiative-assessment/</a><o:p></o:p></p></div><p class=MsoNormal style='margin-bottom:12.0pt'>Here is the very brief highlights!<o:p></o:p></p><p><strong>The Alameda County Safe Medication Disposal Initiative Assessment Key Findings: </strong><o:p></o:p></p><ul type=disc><li class=MsoNormal style='mso-margin-top-alt:auto;mso-margin-bottom-alt:auto;mso-list:l1 level1 lfo1'>In 2009 just 473 pounds were reported from one site. By 2013, the most recent year accounted for, 13,919 pounds were collected and disposed, with an average of 449 pounds per site.<o:p></o:p></li><li class=MsoNormal style='mso-margin-top-alt:auto;mso-margin-bottom-alt:auto;mso-list:l1 level1 lfo1'>The largest collection sites are the Alameda County Sheriff’s Station (1100 pounds), Eden Medical Center (1036 pounds), Washington Hospital (960 pounds) and Ted’s Pharmacy (936 pounds).<o:p></o:p></li><li class=MsoNormal style='mso-margin-top-alt:auto;mso-margin-bottom-alt:auto;mso-list:l1 level1 lfo1'>In 2013, the extrapolated costs of disposal are $27,838, with an average costs per pound of $2.00, down from $2.51 per pound in 2009.<o:p></o:p></li></ul><p>Teleosis Institute offers the following recommendations:<o:p></o:p></p><ul type=disc><li class=MsoNormal style='mso-margin-top-alt:auto;mso-margin-bottom-alt:auto;mso-list:l0 level1 lfo2'>Establishing one centralized agency to oversee a countywide program would minimize operational overlap and thus improve collection efficiency.<o:p></o:p></li><li class=MsoNormal style='mso-margin-top-alt:auto;mso-margin-bottom-alt:auto;mso-list:l0 level1 lfo2'>With roughly 51% of the county citizens within close proximity to a take-back site, new sites are necessary for residents that lack easy access to take-back sites.<o:p></o:p></li><li class=MsoNormal style='mso-margin-top-alt:auto;mso-margin-bottom-alt:auto;mso-list:l0 level1 lfo2'>Establishing new sites in larger medical institutions, such as hospitals, would likely provide the most efficient and effective results.<o:p></o:p></li><li class=MsoNormal style='mso-margin-top-alt:auto;mso-margin-bottom-alt:auto;mso-list:l0 level1 lfo2'>Educating pharmacists would likely improve collection rates in pharmacies and educating health executives, health professionals in primary care and end-of-life caregivers will likely improve program outcomes.<o:p></o:p></li><li class=MsoNormal style='mso-margin-top-alt:auto;mso-margin-bottom-alt:auto;mso-list:l0 level1 lfo2'>Centralizing management would simplify the waste collection system and drive cost of disposal down.<o:p></o:p></li></ul><p>Attached is the Executive Summary.<o:p></o:p></p><p>Joel<o:p></o:p></p><p><o:p> </o:p></p><div><div><div><div><div><div><p class=MsoNormal><span style='font-family:"Garamond","serif";color:black'>Dr. Joel Kreisberg, DC, CCH, ACC</span><span style='font-family:"Garamond","serif"'> |Integrative Homeopathic Medicine |<span style='color:black;background:white'><a href="http://drkreisberg.com" target="_blank"><span style='color:black'>drkreisberg.com</span></a> <a href="mailto:drkreisberg@joelkreisberg.com" target="_blank">drkreisberg@joelkreisberg.com</a> |510-558-7285 | skype: Joel.Kreisberg</span></span><o:p></o:p></p></div><div><p><o:p> </o:p></p></div></div></div></div></div></div></div></div></body></html>