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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='color:#1F497D'>Hi Margaret and all,<o:p></o:p></span></p><p class=MsoNormal><span style='color:#1F497D'><o:p> </o:p></span></p><p class=MsoNormal><span style='color:#1F497D'>Senators and all of us also need to be encouraging practices that reduce both the ingestion of medicines that are excreted and are leftover in medicine cabinets for diversion. A concerted source reduction effort on the part of providers and pharma would likely get us a long way to minimize the need for collections of any sort. And, better protect public health and the environment from air pollution associated with incineration and water pollution associated with excretion and waste. <o:p></o:p></span></p><p class=MsoNormal><span style='color:#1F497D'><o:p> </o:p></span></p><p class=MsoNormal><span style='color:#1F497D'>In 2008 I compiled a white paper for MN elected officials. Here is the summary of steps needed. Reflecting on it today, seven years later, we have made some incremental steps towards resolving the issue, but as I heard on public radio this morning, we still have a problem. <o:p></o:p></span></p><p class=MsoNormal><span style='color:#1F497D'><o:p> </o:p></span></p><p class=MsoNormal style='margin-left:.25in;text-indent:-.25in;mso-list:l0 level1 lfo1'><![if !supportLists]><span style='font-family:Wingdings'><span style='mso-list:Ignore'>§<span style='font:7.0pt "Times New Roman"'> </span></span></span><![endif]>At this time, household pharmaceutical collections indicate most waste is due to drugs not taken because of side effects, allergies or interactions. Changes to reimbursement and co-pay rules and policies to encourage trial prescriptions and eliminate the waste associated with 30 and 90 day prescriptions. <span style='color:#00B050'>CMS now requires pro-rated co-pays for new prescriptions, but is this being practiced? </span><o:p></o:p></p><p class=MsoNormal style='margin-left:.25in;text-indent:-.25in;mso-list:l0 level1 lfo1'><![if !supportLists]><span style='font-family:Wingdings'><span style='mso-list:Ignore'>§<span style='font:7.0pt "Times New Roman"'> </span></span></span><![endif]>Changes to policies and rules to encourage non-drug treatments, such as physical therapy, proper nutrition and other complementary and alternative medicines. <span style='color:#00B050'>To what extent are providers encouraging alternatives? My provider friends are still in the “take a pill” mode. One friend keeps a stash of ibuprofen in the side pocket of her car. </span><o:p></o:p></p><p class=MsoNormal style='margin-left:.25in;text-indent:-.25in;mso-list:l0 level1 lfo1'><![if !supportLists]><span style='font-family:Wingdings'><span style='mso-list:Ignore'>§<span style='font:7.0pt "Times New Roman"'> </span></span></span><![endif]>Incentives for pharmaceutical manufacturers to develop drugs targeted to the tissue/s or organ/s of choice, minimizing excretion potential.<o:p></o:p></p><p class=MsoNormal style='margin-left:.25in;text-indent:-.25in;mso-list:l0 level1 lfo1'><![if !supportLists]><span style='font-family:Wingdings'><span style='mso-list:Ignore'>§<span style='font:7.0pt "Times New Roman"'> </span></span></span><![endif]>Currently the costs of drug disposal are primarily borne by the taxpayers. Changes to policies and rules to encourage product stewardship for pharmaceuticals by manufacturers, insurance companies and health care providers. <span style='color:#00B050'>Some movement here, but will the costs just be passed on to users—as with the paint EPR—and no real effort made to source reduce? </span><o:p></o:p></p><p class=MsoNormal style='margin-left:.25in;text-indent:-.25in;mso-list:l0 level1 lfo1'><![if !supportLists]><span style='font-family:Wingdings'><span style='mso-list:Ignore'>§<span style='font:7.0pt "Times New Roman"'> </span></span></span><![endif]>Changes to DEA regulations to permit disposal of controlled substances by methods other than the sanitary sewer. <span style='color:#00B050'>DEA didn’t provide good alternatives for healthcare’s “wastage”, but source reduction opportunities exist. </span><o:p></o:p></p><p class=MsoNormal><span style='color:#1F497D'><o:p> </o:p></span></p><p class=MsoNormal><span style='color:#1F497D'><o:p> </o:p></span></p><div><p class=MsoNormal><span style='color:#1F497D'>Very truly yours,<o:p></o:p></span></p><p class=MsoNormal><span style='color:#1F497D'><o:p> </o:p></span></p><p class=MsoNormal><span style='color:#1F497D'>Catherine Zimmer, MS, BSMT<o:p></o:p></span></p><p class=MsoNormal><span style='color:#1F497D'>Zimmer Environmental Improvement, LLC<o:p></o:p></span></p><p class=MsoNormal><span style='font-size:13.0pt;font-family:Pristina;color:#00B050'>Reducing and managing healthcare related waste and costs for fifteen years. <o:p></o:p></span></p><p class=MsoNormal><span style='color:#1F497D'>St. Paul, MN <o:p></o:p></span></p><p class=MsoNormal><span style='color:#1F497D'>Ph: 651.645.7509<o:p></o:p></span></p><p class=MsoNormal><span style='color:#00B050'><a href="mailto:zenllc@usfamily.net"><span style='color:#00B050'>zenllc@usfamily.net</span></a><o:p></o:p></span></p></div><p class=MsoNormal><span style='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><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>Margaret Shield<br><b>Sent:</b> Tuesday, June 02, 2015 1:44 AM<br><b>To:</b> pharmwaste@lists.dep.state.fl.us<br><b>Subject:</b> RE: [Pharmwaste] YES AND, all of the above - Senators encourage reinstatement of DEA Take-Back Events<o:p></o:p></span></p></div></div><p class=MsoNormal><o:p> </o:p></p><p class=MsoNormal><span style='color:#1F497D'>Hi folks,<o:p></o:p></span></p><p class=MsoNormal><span style='color:#1F497D'>I appreciate the passionate, thoughtful, and interesting comments about the bipartisan push for more DEA National Take-back Events.<o:p></o:p></span></p><p class=MsoNormal><span style='color:#1F497D'>I encourage all to wear your “yes, add” thinking caps about the many truths going on simultaneously. We’re all versatile and smart enough to see that we need to keep our eye on the goal of having well-promoted, convenient, efficient, ongoing medicine take-back system in all our communities. Interim solutions are also needed, but the long-term goal cannot occur without key investments from pharmaceutical companies who are the ones that can work these relatively small costs of drug take-back into their business models. There can be interim steps towards that goal without pitting any one interim step against that long-term goal. <o:p></o:p></span></p><p class=MsoNormal><span style='color:#1F497D'><o:p> </o:p></span></p><p class=MsoNormal><span style='color:#1F497D'>Yes, we need an immediate fix to provide drug take-back events in communities without other options. Perhaps reinstating the successful twice-a-year national DEA events is a good band-aid to help the situation. But let’s support it for what it is, an interim step towards the real goal. And let’s see if it can be done with greater understanding of the challenges that law enforcement agencies face to make the events happen, for example Saturday events may be awesome for DEA, but it means over-time shifts and greater budgetary burdens for some local cops.<o:p></o:p></span></p><p class=MsoNormal><span style='color:#1F497D'><o:p> </o:p></span></p><p class=MsoNormal><span style='color:#1F497D'>Do all the ongoing drop boxes at law enforcement offices and the law enforcement collection events deserve more support? Yes, they do, and that’s also an interim step towards the real goal. Various proposals of short term funding through grant programs are circulating. Again, interim fix, keep eyes on long-term goal.<o:p></o:p></span></p><p class=MsoNormal><span style='color:#1F497D'><o:p> </o:p></span></p><p class=MsoNormal><span style='color:#1F497D'>Yes, what’s really needed is more convenient and secure drop off locations for medicines - and that’s at retail pharmacies, not just at police stations or occasional collection events. That’s why we worked so hard to pass the federal bill in 2010 to change the Controlled Substances Act. Convenient drop boxes at pharmacies and hospitals, supplemented by events and mail-back as needed, will be most effective in getting potentially dangerous leftover medicines out of people’s homes. <o:p></o:p></span></p><p class=MsoNormal><span style='color:#1F497D'>Our police and sheriffs have been tremendous in their support for medicine take-back and their programs have been successful and impactful. Thank you law enforcement! <o:p></o:p></span></p><p class=MsoNormal><u><span style='color:#1F497D'>And</span></u><span style='color:#1F497D'> we all go to drug stores or supermarkets with pharmacies regularly, which means secure drop boxes there will safely collect the largest volumes of leftover medicines to protect our communities. I believe that retail pharmacies, including the big chains like CVS, want to step up to help with pharmaceutical stewardship but they shouldn’t be left holding the whole bag of drugs. The manufacturers of the medicines need to be contributing to the solution too. Which brings us back to the long-term goal.<o:p></o:p></span></p><p class=MsoNormal><span style='color:#1F497D'><o:p> </o:p></span></p><p class=MsoNormal><span style='color:#1F497D'>The U.S. Supreme Court decision upholding the county-level law is important and we’re now past the distraction of that legal challenge. Does producer responsibility still seem hard to achieve given what seems to be ongoing opposition from the powerful pharmaceutical industry, even after the Supreme Court decision? Sure, it’s hard, but I think the professionals on this pharmwaste listserv are used to accomplishing hard things when they know it’s right. I suggest that before you assume it’s impossible, have some serious conversations with your local elected leaders about why more convenient, effective, long-term medicine take-back programs are needed, and why the county laws in Alameda, King, San Francisco, San Mateo, and Santa Clara that place reasonable responsibility on drug manufacturers make sense. You might be surprised what you hear in response from your local electeds who are committed to protecting their communities.<o:p></o:p></span></p><p class=MsoNormal><span style='color:#1F497D'><o:p> </o:p></span></p><p class=MsoNormal><span style='color:#1F497D'>Margaret Shield<o:p></o:p></span></p><p class=MsoNormal><a name="_MailEndCompose"><span style='color:#1F497D'>Seattle, WA</span></a><span style='color:#1F497D'><o:p></o:p></span></p><p class=MsoNormal><span style='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><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"'> <a href="mailto:pharmwaste-bounces@lists.dep.state.fl.us">pharmwaste-bounces@lists.dep.state.fl.us</a> [<a href="mailto:pharmwaste-bounces@lists.dep.state.fl.us">mailto:pharmwaste-bounces@lists.dep.state.fl.us</a>] <b>On Behalf Of </b>Gilliam, Allen<br><b>Sent:</b> Monday, June 1, 2015 1:23 PM<br><b>To:</b> Hauser, Deborah; <a href="mailto:pharmwaste@lists.dep.state.fl.us">pharmwaste@lists.dep.state.fl.us</a><br><b>Subject:</b> RE: [Pharmwaste] Senators encourage reinstatement of DEA Take-Back Events<o:p></o:p></span></p></div></div><p class=MsoNormal><o:p> </o:p></p><p class=MsoNormal><span style='color:#1F497D'>Knowing first hand (have brother who’s been a pharmacist for almost 30 yrs) what pharmacists must do just to keep up with their day-to-day shelling out hundreds of pills and doing with it utmost precision, it’s no wonder many pharmacies do not want to add another regulated and time consuming work project.<o:p></o:p></span></p><p class=MsoNormal><span style='color:#1F497D'><o:p> </o:p></span></p><p class=MsoNormal><span style='color:#1F497D'>AR’s “take-back” program has ~100+ permanent drop boxes located at city police/county sheriff’s offices which pretty well saturates the State (see <a href="http://www.artakeback.org/Default.aspx?CCID=20447&FID=129895&ExcludeBoolFalse=True&PageID=13761060#sthash.IOzK2dxj.dpbs">http://www.artakeback.org/Default.aspx?CCID=20447&FID=129895&ExcludeBoolFalse=True&PageID=13761060#sthash.IOzK2dxj.dpbs</a> [go to “drop box type” and click on “permanent” and place “100” in the “distance box and then click “search”]). It’s been a program that has exceeded all expectations.<o:p></o:p></span></p><p class=MsoNormal><span style='color:#1F497D'><o:p> </o:p></span></p><p class=MsoNormal><span style='color:#1F497D'>Don’t know if all sites care/are knowledgeable of DEA’s recent reg when collecting OTC meds or controlled substances. They all end up at a licensed haz waste incinerator.<o:p></o:p></span></p><p class=MsoNormal><span style='color:#1F497D'><o:p> </o:p></span></p><p class=MsoNormal><span style='color:#1F497D'>Granted, the DEA’s 2/yr “take-back” days will be greatly missed because of their connection which helps keep our permanent drop boxes busy, but with or without pharmacies entering the picture, I’m still fearing we’ll see a drop off in use of the permanent drop boxes without the big name DEA leading the charge which is highly publicized throughout the State.<o:p></o:p></span></p><p class=MsoNormal><span style='color:#1F497D'><o:p> </o:p></span></p><p class=MsoNormal><span style='color:#1F497D'>Allen g<o:p></o:p></span></p><p class=MsoNormal><span style='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><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"'> <a href="mailto:pharmwaste-bounces@lists.dep.state.fl.us">pharmwaste-bounces@lists.dep.state.fl.us</a> [<a href="mailto:pharmwaste-bounces@lists.dep.state.fl.us">mailto:pharmwaste-bounces@lists.dep.state.fl.us</a>] <b>On Behalf Of </b>Hauser, Deborah<br><b>Sent:</b> Monday, June 01, 2015 1:47 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> RE: [Pharmwaste] Senators encourage reinstatement of DEA Take-Back Events<o:p></o:p></span></p></div></div><p class=MsoNormal><o:p> </o:p></p><p class=MsoNormal><span style='color:#1F497D'>I guess I’m a little disappointed that nobody is even discussing the possibility of retail pharmacies collecting. I had heard rumors about CVS planning to start providing permanent collection boxes in their pharmacies. Has anyone else heard anything? Because it sure is a lot more convenient for the average resident to drop off old pharms at the corner drug store than to find the local law enforcement drop box. I don’t even know where my local sheriff’s office is located!<o:p></o:p></span></p><p class=MsoNormal><span style='color:#1F497D'><o:p> </o:p></span></p><p class=MsoNormal><span style='color:#1F497D'>Deb<o:p></o:p></span></p><p class=MsoNormal><span style='color:#1F497D'><o:p> </o:p></span></p><p class=MsoNormal><b><span style='font-size:6.0pt;font-family:"Constantia","serif";color:#948A54'><img border=0 width=128 height=54 id="Picture_x0020_2" src="cid:image001.png@01D09D0F.2785E120" alt="New Image"><o:p></o:p></span></b></p><p class=MsoNormal><b><span style='font-size:6.0pt;font-family:"Constantia","serif";color:#948A54'><o:p> </o:p></span></b></p><p class=MsoNormal><b><span style='font-family:"Garamond","serif";color:#215868'>Deborah Hauser<o:p></o:p></span></b></p><p class=MsoNormal><b><span style='font-family:"Garamond","serif";color:#215868'>Environmental Specialist<o:p></o:p></span></b></p><p class=MsoNormal><b><span style='font-family:"Garamond","serif";color:#215868'>Division of Materials and Waste Management<o:p></o:p></span></b></p><p class=MsoNormal><b><span style='font-family:"Garamond","serif";color:#215868'>614.728.5353<o:p></o:p></span></b></p><p class=MsoNormal><b><span style='font-family:"Garamond","serif";color:#215868'>Please note that my name has changed (previously Hoffman). Please update your address book.<o:p></o:p></span></b></p><p class=MsoNormal><span style='color:#1F497D'><o:p> </o:p></span></p><p class=MsoNormal><span style='color:#1F497D'><o:p> </o:p></span></p><p class=MsoNormal><span style='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><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"'> <a href="mailto:pharmwaste-bounces@lists.dep.state.fl.us">pharmwaste-bounces@lists.dep.state.fl.us</a> [<a href="mailto:pharmwaste-bounces@lists.dep.state.fl.us">mailto:pharmwaste-bounces@lists.dep.state.fl.us</a>] <b>On Behalf Of </b>DeBiasi, Deborah (DEQ)<br><b>Sent:</b> Monday, June 01, 2015 2:37 PM<br><b>To:</b> Ed Gottlieb; <a href="mailto:pharmwaste@lists.dep.state.fl.us">pharmwaste@lists.dep.state.fl.us</a><br><b>Subject:</b> RE: [Pharmwaste] Senators encourage reinstatement of DEA Take-Back Events<o:p></o:p></span></p></div></div><p class=MsoNormal><o:p> </o:p></p><p class=MsoNormal><span style='font-size:12.0pt;font-family:"Times New Roman","serif";color:#000099'> The nine DEA National Take-Back Initiatives were a bargain because of a lot of volunteer time donations from Law Enforcement, the National Guard, Public Utility staff, Environmental groups and DEA, and because DEA picked up the tab for the destruction. The logistical challenges were significant, as transporters gathered up collected drugs from consolidation points at law enforcement locations across the state and trucked them to the incinerators. <o:p></o:p></span></p><p class=MsoNormal><span style='font-size:12.0pt;font-family:"Times New Roman","serif";color:#000099'><o:p> </o:p></span></p><p class=MsoNormal><span style='font-size:12.0pt;font-family:"Times New Roman","serif";color:#000099'> Virginia is looking at continuing the two Drug Take-Back events on set Saturdays, maybe in April and September since the DEA events got folks in the habit of expecting them. We haven’t seen much interest for housing collection boxes or supporting the mail-back programs for a variety of reasons. Even with Covanta Incinerators offering us free destruction of the collected drugs, costs are estimated at $50,000-60,000 per event and that still includes a lot of donated time. Funding must be present or we can’t do it.<o:p></o:p></span></p><p class=MsoNormal><span style='font-size:12.0pt;font-family:"Times New Roman","serif";color:#000099'><o:p> </o:p></span></p><p class=MsoNormal><span style='font-size:12.0pt;font-family:"Times New Roman","serif";color:#000099'> If Congress mandates that DEA resume sponsorship for the effort, they need to provide the funding and resources for them to do it. The Virginia DEA staff were great to work with, and they did an amazing job of orchestrating the Take-Back events often with little advance notice of the event dates, but it also tied up their agents, vehicles and facilities from doing their primary functions. <o:p></o:p></span></p><p class=MsoNormal><span style='font-size:12.0pt;font-family:"Times New Roman","serif";color:#000099'><o:p> </o:p></span></p><div><p class=MsoNormal><span style='font-size:10.0pt;font-family:"Times New Roman","serif";color:navy'>Deborah L. DeBiasi</span><span style='font-size:10.0pt;font-family:"Times New Roman","serif";color:#000099'>, </span><span style='font-size:10.0pt;font-family:"Times New Roman","serif";color:navy'>Virginia DEQ</span><span style='font-size:10.0pt;font-family:"Times New Roman","serif";color:#000099'> <br></span><span style='font-size:10.0pt;font-family:"Times New Roman","serif";color:navy'>Office of Water Permits </span><span style='font-size:10.0pt;font-family:"Times New Roman","serif";color:#000099'><br></span><b><span style='font-size:10.0pt;font-family:"Times New Roman","serif";color:navy'>Email: <a href="mailto:Deborah.DeBiasi@deq.virginia.gov">Deborah.DeBiasi@deq.virginia.gov</a></span></b><b><i><span style='font-size:10.0pt;font-family:"Times New Roman","serif";color:#000099'><br></span></i></b><span style='font-size:10.0pt;font-family:"Times New Roman","serif";color:navy'>PH: 804-698-4028</span><span style='font-size:10.0pt;font-family:"Times New Roman","serif";color:#000099'><o:p></o:p></span></p></div><p class=MsoNormal><span style='font-size:12.0pt;font-family:"Times New Roman","serif";color:#000099'><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><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"'> <a href="mailto:pharmwaste-bounces@lists.dep.state.fl.us">pharmwaste-bounces@lists.dep.state.fl.us</a> [<a href="mailto:pharmwaste-bounces@lists.dep.state.fl.us">mailto:pharmwaste-bounces@lists.dep.state.fl.us</a>] <b>On Behalf Of </b>Ed Gottlieb<br><b>Sent:</b> Monday, June 01, 2015 1:54 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> RE: [Pharmwaste] Senators encourage reinstatement of DEA Take-Back Events<o:p></o:p></span></p></div></div><p class=MsoNormal><o:p> </o:p></p><div><p class=MsoNormal><span style='font-size:10.0pt;font-family:"Tahoma","sans-serif";color:black'>My answer to Jeff (below) is "yes", more consumers would be safely dispose of unwanted medications if the DEA reinstated the Take Back Initiative. <br><br>I think it is a great idea for the DEA to reinstate the Take Back Initiative on an interim basis. It was a hugely successful program that made it easy for almost 4000 law enforcement departments to have more than 5200 collection sites at the last take back event. With the loss of DEA support, many of these communities no longer have a safe disposal option.<br><br>The new DEA rule allows, but does not mandate or fund, authorized distributors to apply to become a take back location. Only time will tell how many pharmacies, reverse distributors, and narcotic treatment centers sign up to pay for controlled substance take back. <br><br>Also, as far as I have been able to determine, there are still nine states (AR, AZ, HI, IL, MN, MS, NY TX, CT) that have rules blocking authorized distributors from doing take back of controlled substances. These states will eventually change their rules to be in compliance with the new DEA rule. <br><br>So far, I have not seen any evidence of large numbers of take back programs for controlled substances being approved. <br> <br>The Supreme Court decision (to let a Federal District Court decision upholding the Alameda County EPR law stand) is encouraging and will certainly lead to similar laws being passed in other communities. It is hard to imagine that this decision will lead to a sudden, large surge in similar laws. I don't see it having much of an impact on the nationwide availability of safe disposal options in the near future.<br><br>Congress should direct the DEA to reinstate the Take Back Initiative. The program should continue until there is evidence that ongoing programs (both voluntary and EPR mandated) are widely available throughout the nation.<br><br>Removing unwanted pharmaceuticals from homes and safely disposing of them helps address multiple problems of national significance:<br>illegal diversion<br>accidental overdoses<br>and <br>environmental contamination<br><br>The DEA supported program was effective, necessary, and a bargain! If we help motivate Congress to act, it will be again. <o:p></o:p></span></p><div><p class=MsoNormal><span style='font-size:10.0pt;font-family:"Tahoma","sans-serif";color:black'><o:p> </o:p></span></p><div><div><div><p class=MsoNormal><span style='font-size:10.0pt;font-family:"Tahoma","sans-serif";color:black'>Ed Gottlieb</span><span style='font-size:8.0pt;font-family:"Tahoma","sans-serif";color:black'><br></span><span style='font-size:10.0pt;font-family:"Tahoma","sans-serif";color:black'>Chair, Coalition for Safe Medication Disposal</span><span style='font-size:8.0pt;font-family:"Tahoma","sans-serif";color:black'><o:p></o:p></span></p></div><div><p class=MsoNormal><span style='font-size:10.0pt;font-family:"Tahoma","sans-serif";color:black'>Industrial Pretreatment Coordinator</span><span style='font-size:8.0pt;font-family:"Tahoma","sans-serif";color:black'><o:p></o:p></span></p></div><div><p class=MsoNormal><span style='font-size:10.0pt;font-family:"Tahoma","sans-serif";color:black'>Ithaca Area Wastewater Treatment Facility</span><span style='font-size:8.0pt;font-family:"Tahoma","sans-serif";color:black'><br></span><span style='font-size:10.0pt;font-family:"Tahoma","sans-serif";color:black'>525 3</span><sup><span style='font-size:8.0pt;font-family:"Tahoma","sans-serif";color:black'>rd</span></sup><span style='font-size:10.0pt;font-family:"Tahoma","sans-serif";color:black'> Street</span><span style='font-size:8.0pt;font-family:"Tahoma","sans-serif";color:black'><o:p></o:p></span></p></div><div><p class=MsoNormal><span style='font-size:10.0pt;font-family:"Tahoma","sans-serif";color:black'>Ithaca, NY 14850</span><span style='font-size:8.0pt;font-family:"Tahoma","sans-serif";color:black'><o:p></o:p></span></p></div><div><p class=MsoNormal><span style='font-size:10.0pt;font-family:"Tahoma","sans-serif";color:black'>(607) 273-8381</span><span style='font-size:8.0pt;font-family:"Tahoma","sans-serif";color:black'><o:p></o:p></span></p></div><div><p class=MsoNormal style='margin-bottom:12.0pt'><span style='font-size:10.0pt;font-family:"Tahoma","sans-serif";color:black'>fax: (607) 273-8433</span><span style='font-size:8.0pt;font-family:"Tahoma","sans-serif";color:black'><o:p></o:p></span></p></div></div></div></div><div><div class=MsoNormal align=center style='text-align:center'><span style='font-size:9.5pt;font-family:"Times New Roman","serif";color:black'><hr size=3 width="100%" align=center></span></div><div id=divRpF962564><p class=MsoNormal style='margin-bottom:12.0pt'><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> [pharmwaste-bounces@lists.dep.state.fl.us] on behalf of Jim Clark [jac20@psu.edu]<br><b>Sent:</b> Monday, June 01, 2015 12:58 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> RE: [Pharmwaste] Senators encourage reinstatement of DEA Take-Back Events</span><span style='font-size:9.5pt;font-family:"Times New Roman","serif";color:black'><o:p></o:p></span></p></div><div><div><p class=MsoNormal><span style='color:#1F497D'>Does it make sense that we reinstate the DEA drug take back program and given the recent supreme court decision, that we have the pharmaceuticals pay for the DEA drug Take Back Program? What am I missing?</span><span style='color:black'><o:p></o:p></span></p><p class=MsoNormal><span style='color:#1F497D'>Jim Clark, Extension Educator</span><span style='color:black'><o:p></o:p></span></p><p class=MsoNormal><span style='color:#1F497D'> </span><span style='color:black'><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><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'> Gilliam, Allen [<a href="mailto:GILLIAM@adeq.state.ar.us">mailto:GILLIAM@adeq.state.ar.us</a>] <br><b>Sent:</b> Monday, June 01, 2015 8:58 AM<br><b>To:</b> Jeff Hollar; <a href="mailto:pharmwaste@lists.dep.state.fl.us">pharmwaste@lists.dep.state.fl.us</a><br><b>Subject:</b> RE: [Pharmwaste] Senators encourage reinstatement of DEA Take-Back Events</span><span style='color:black'><o:p></o:p></span></p></div></div><p class=MsoNormal><span style='color:black'> <o:p></o:p></span></p><p class=MsoNormal><span style='color:#1F497D'>Very good point Jeff,</span><span style='color:black'><o:p></o:p></span></p><p class=MsoNormal><span style='color:#1F497D'> </span><span style='color:black'><o:p></o:p></span></p><p class=MsoNormal><span style='color:#1F497D'>The domino effect will begin I’m afraid. Coming from 25+ yrs in Pretreatment and watching the Feds (EPA) continual disinvestment in the National Pretreatment Program over the last 15+ yrs, it’s already hit hard here at the state level and now being felt at the City level: “If the Feds see no importance in the program, why should we?” seems to be the wounded wolf’s final cry.</span><span style='color:black'><o:p></o:p></span></p><p class=MsoNormal><span style='color:#1F497D'> </span><span style='color:black'><o:p></o:p></span></p><p class=MsoNormal><span style='color:#1F497D'>A lot of people don’t want “big government” (like myself to an extent), but without its presence in some worthwhile nat’l programs, those programs are doomed to wither on the vine.</span><span style='color:black'><o:p></o:p></span></p><p class=MsoNormal><span style='color:#1F497D'> </span><span style='color:black'><o:p></o:p></span></p><p class=MsoNormal><span style='color:#1F497D'>Allen Gilliam</span><span style='color:black'><o:p></o:p></span></p><p class=MsoNormal><span style='color:#1F497D'>ADEQ State Pretreatment Coordinator</span><span style='color:black'><o:p></o:p></span></p><p class=MsoNormal><span style='color:#1F497D'>501.682.0625</span><span style='color:black'><o:p></o:p></span></p><p class=MsoNormal><span style='color:#1F497D'> </span><span style='color:black'><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><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" target="_blank">pharmwaste-bounces@lists.dep.state.fl.us</a> [<a href="mailto:pharmwaste-bounces@lists.dep.state.fl.us" target="_blank">mailto:pharmwaste-bounces@lists.dep.state.fl.us</a>] <b>On Behalf Of </b>Jeff Hollar<br><b>Sent:</b> Saturday, May 30, 2015 7:18 AM<br><b>To:</b> <a href="mailto:pharmwaste@lists.dep.state.fl.us" target="_blank">pharmwaste@lists.dep.state.fl.us</a><br><b>Subject:</b> [Pharmwaste] Senators encourage reinstatement of DEA Take-Back Events</span><span style='color:black'><o:p></o:p></span></p></div></div><p class=MsoNormal><span style='color:black'> <o:p></o:p></span></p><p class=MsoNormal><span style='color:black'>Full Story:<o:p></o:p></span></p><p class=MsoNormal><span style='color:black'><a href="http://www.capito.senate.gov/content/capito-and-manchin-call-reinstatement-national-drug-take-back-days" target="_blank">http://www.capito.senate.gov/content/capito-and-manchin-call-reinstatement-national-drug-take-back-days</a><o:p></o:p></span></p><p class=MsoNormal><span style='color:black'> <o:p></o:p></span></p><p class=MsoNormal><span style='color:black'>Wouldn’t more consumer drugs be disposed if they reinstated the program? Isn’t that a good thing?<o:p></o:p></span></p><p class=MsoNormal><span style='color:black'> <o:p></o:p></span></p><p class=MsoNormal><span style='color:black'> <o:p></o:p></span></p><p class=MsoNormal><span style='font-size:10.0pt;font-family:"Tahoma","sans-serif";color:black'>Jeff Hollar</span><span style='color:black'><o:p></o:p></span></p><div><p class=MsoNormal><span style='font-size:10.0pt;font-family:"Tahoma","sans-serif";color:black'>President</span><span style='color:black'><o:p></o:p></span></p></div><div><p class=MsoNormal><b><span style='font-size:10.0pt;font-family:"Tahoma","sans-serif";color:navy'>PharmWaste Technologies, Inc.</span></b><span style='color:black'><o:p></o:p></span></p></div><div><p class=MsoNormal><span style='font-size:10.0pt;font-family:"Tahoma","sans-serif";color:black'>4164 NW Urbandale Dr., Ste A</span><span style='color:black'><o:p></o:p></span></p></div><div><p class=MsoNormal><span style='font-size:10.0pt;font-family:"Tahoma","sans-serif";color:black'>Urbandale, IA 50322</span><span style='color:black'><o:p></o:p></span></p></div><div><p class=MsoNormal><span style='font-size:10.0pt;font-family:"Tahoma","sans-serif";color:black'>515-276-5302 (general)</span><span style='color:black'><o:p></o:p></span></p></div><div><p class=MsoNormal><span style='font-size:10.0pt;font-family:"Tahoma","sans-serif";color:black'>515-331-7310 (direct)</span><span style='color:black'><o:p></o:p></span></p><p class=MsoNormal><span style='font-size:10.0pt;font-family:"Tahoma","sans-serif";color:black'>515-360-9785 (cell)</span><span style='color:black'><o:p></o:p></span></p></div><p class=MsoNormal><span style='font-size:10.0pt;font-family:"Tahoma","sans-serif";color:blue'><a href="http://www.pwaste.com/" target="_blank" title="http://www.pwaste.com/">www.pwaste.com</a></span><span style='color:black'><o:p></o:p></span></p><p class=MsoNormal><span style='color:black'> <o:p></o:p></span></p><p class=MsoNormal><span style='color:black'> <o:p></o:p></span></p></div></div></div></div></div></body></html>