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            <div style="max-width: 590px;"><font size="3" style="font-size: 14px;">Recent study shows strengthening state tools prevents drug abuse.</font></div><div style="max-width: 590px;"><font size="3" style="font-size: 14px;">Great read:</font></div><div><font size="3" style="font-size: 14px;">



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                  PDMPs are state-run electronic databases that provide data on controlled substance prescriptions, which can be used to identify drug-seeking behaviors (e.g.
      
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    <div style="max-width:590px;"><br><div class="gmail_extra"><br><div class="gmail_quote">On Tue, Dec 1, 2015 at 11:01 AM,  <span dir="ltr">&lt;<a href="mailto:pharmwaste-request@lists.dep.state.fl.us" target="_blank">pharmwaste-request@lists.dep.state.fl.us</a>&gt;</span> wrote:<br><blockquote class="gmail_quote" style="margin:0 0 0 .8ex;border-left:1px #ccc solid;padding-left:1ex">Send Pharmwaste mailing list submissions to<br>
        <a href="mailto:pharmwaste@lists.dep.state.fl.us">pharmwaste@lists.dep.state.fl.<wbr>us</a><br>
<br>
To subscribe or unsubscribe via the World Wide Web, visit<br>
        <a href="http://lists.dep.state.fl.us/cgi-bin/mailman/listinfo/pharmwaste" rel="noreferrer" target="_blank">http://lists.dep.state.fl.us/<wbr>cgi-bin/mailman/listinfo/<wbr>pharmwaste</a><br>
or, via email, send a message with subject or body 'help' to<br>
        <a href="mailto:pharmwaste-request@lists.dep.state.fl.us">pharmwaste-request@lists.dep.<wbr>state.fl.us</a><br>
<br>
You can reach the person managing the list at<br>
        <a href="mailto:pharmwaste-owner@lists.dep.state.fl.us">pharmwaste-owner@lists.dep.<wbr>state.fl.us</a><br>
<br>
When replying, please edit your Subject line so it is more specific<br>
than &quot;Re: Contents of Pharmwaste digest...&quot;<br>
<br>Today's Topics:<br>
<br>
   1. How Should Drug Take-Back Work?  (Ed Gottlieb)<br>
   2. Re: How Should Drug Take-Back Work?  (<a href="mailto:hksanborn@comcast.net">hksanborn@comcast.net</a>)<br>
<br><br>---------- Forwarded message ----------<br>From: Ed Gottlieb &lt;EGottlieb@cityofithaca.org&gt;<br>To: &quot;pharmwaste@lists.dep.state.fl.us&quot; &lt;pharmwaste@lists.dep.state.fl.us&gt;<br>Cc: <br>Date: Mon, 30 Nov 2015 19:36:41 +0000<br>Subject: [Pharmwaste] How Should Drug Take-Back Work?<br>




<div>
<div style="direction:ltr;font-family:Tahoma;color:#000000;font-size:10pt">California Healthline &quot;Think Tank&quot; discussion: How Should Drug Take-Back Work?<br>
<a href="http://www.californiahealthline.org/think-tank/2015/how-should-drug-takeback-work" target="_blank">http://www.<wbr>californiahealthline.org/<wbr>think-tank/2015/how-should-<wbr>drug-takeback-work</a><br>
<div><br>
Overview story then three panelists provide their opinions.<br>
<br>
I strongly disagree with <span>
John Murphy</span> (<span>Assistant general counsel, Pharmaceutical Research and Manufacturers of America), especially:</span><br>
<blockquote>&quot;mandated take-back programs will increase the burden on the environment, because individuals will have to travel to drop-off sites and a completely new waste disposal infrastructure will have to be created. Collecting medicines in identifiable
 drop-off sites will also increase the risk for diversion of medicines for drug use disorders.&quot;<br>
</blockquote>
<span>I venture to say that the other panelists would have offered</span> rebuttals, similar to the following, if they had been given the chance.
<br>
<br>
1. With EPR, most drop offs will be at pharmacies where the environmental burden of travel will generally be non-existent since drop off will almost always be combined with shopping trips. 
<br>
2. Infrastructure costs, such as drop boxes and warehouses, will be moderate and can be
<span>amortized</span> over many years. <br>
3. Collecting medications in identifiable drop-off sites will decrease the risk of diversion.  It is well established that the majority of prescription medications that are illegally diverted are obtained from homes.  As take back programs reach additional
 communities and become more convenient, increasing amounts of unwanted medications will be removed from homes and easy access.<br>
<br>
<div style="font-family:Tahoma;font-size:13px">
<div style="font-family:Tahoma;font-size:13px"><font><span lang="en-US">
<div>Ed Gottlieb<br>
Chair, Coalition for Safe Medication Disposal<br>
</div>
<div>Industrial Pretreatment Coordinator</div>
<div>Ithaca Area Wastewater Treatment Facility<br>
525 3<font face="Times New Roman" size="3" style="font-size: 14px;"><sup>rd</sup></font> Street</div>
<div>Ithaca, NY  14850</div>
<div><a href="tel:%28607%29%20273-8381" value="+16072738381" target="_blank">(607) 273-8381</a></div>
<div>fax: <a href="tel:%28607%29%20273-8433" value="+16072738433" target="_blank">(607) 273-8433</a></div>
</span></font></div>
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<br><br>---------- Forwarded message ----------<br>From: hksanborn@comcast.net<br>To: Ed Gottlieb &lt;EGottlieb@cityofithaca.org&gt;<br>Cc: &quot;pharmwaste@lists.dep.state.fl.us&quot; &lt;pharmwaste@lists.dep.state.fl.us&gt;<br>Date: Mon, 30 Nov 2015 11:45:46 -0800<br>Subject: Re: [Pharmwaste] How Should Drug Take-Back Work?<br><div dir="auto"><div>Ed- we did not know who else was asked to respond and I agree with your response to the pharma quote.  I hope people post this comments on the Healthline website as that is where health industry workers will see them.  Heidi<br><br>Sent from my iPhone</div><div><br>On Nov 30, 2015, at 11:36 AM, Ed Gottlieb &lt;<a href="mailto:EGottlieb@cityofithaca.org" target="_blank">EGottlieb@cityofithaca.org</a>&gt; wrote:<br><br></div><blockquote type="cite"><div>





<div style="direction:ltr;font-family:Tahoma;color:#000000;font-size:10pt">California Healthline &quot;Think Tank&quot; discussion: How Should Drug Take-Back Work?<br>
<a href="http://www.californiahealthline.org/think-tank/2015/how-should-drug-takeback-work" target="_blank">http://www.<wbr>californiahealthline.org/<wbr>think-tank/2015/how-should-<wbr>drug-takeback-work</a><br>
<div><br>
Overview story then three panelists provide their opinions.<br>
<br>
I strongly disagree with <span>
John Murphy</span> (<span>Assistant general counsel, Pharmaceutical Research and Manufacturers of America), especially:</span><br>
<blockquote>&quot;mandated take-back programs will increase the burden on the environment, because individuals will have to travel to drop-off sites and a completely new waste disposal infrastructure will have to be created. Collecting medicines in identifiable
 drop-off sites will also increase the risk for diversion of medicines for drug use disorders.&quot;<br>
</blockquote>
<span>I venture to say that the other panelists would have offered</span> rebuttals, similar to the following, if they had been given the chance.
<br>
<br>
1. With EPR, most drop offs will be at pharmacies where the environmental burden of travel will generally be non-existent since drop off will almost always be combined with shopping trips. 
<br>
2. Infrastructure costs, such as drop boxes and warehouses, will be moderate and can be
<span>amortized</span> over many years. <br>
3. Collecting medications in identifiable drop-off sites will decrease the risk of diversion.  It is well established that the majority of prescription medications that are illegally diverted are obtained from homes.  As take back programs reach additional
 communities and become more convenient, increasing amounts of unwanted medications will be removed from homes and easy access.<br>
<br>
<div style="font-family:Tahoma;font-size:13px">
<div style="font-family:Tahoma;font-size:13px"><font><span lang="en-US">
<div>Ed Gottlieb<br>
Chair, Coalition for Safe Medication Disposal<br>
</div>
<div>Industrial Pretreatment Coordinator</div>
<div>Ithaca Area Wastewater Treatment Facility<br>
525 3<font face="Times New Roman" size="3" style="font-size: 14px;"><sup>rd</sup></font> Street</div>
<div>Ithaca, NY  14850</div>
<div><a href="tel:%28607%29%20273-8381" value="+16072738381" target="_blank">(607) 273-8381</a></div>
<div>fax: <a href="tel:%28607%29%20273-8433" value="+16072738433" target="_blank">(607) 273-8433</a></div>
</span></font></div>
</div>
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</div></blockquote><blockquote type="cite"><div><span>---</span><br><span>Note: As a courtesy to other listserv subscribers, please post messages to the listserv in plain text format to avoid the garbling of messages received by digest recipients.</span><br><span>---</span><br><span>TO SUBSCRIBE, go to:   <a href="http://lists.dep.state.fl.us/cgi-bin/mailman/listinfo/pharmwaste" target="_blank">http://lists.dep.state.fl.<wbr>us/cgi-bin/mailman/listinfo/<wbr>pharmwaste</a> </span><br><span>TO UNSUBSCRIBE, DO NOT REPLY TO THE LISTSERV. Please send an e-mail to <a href="mailto:pharmwaste-unsubscribe@lists.dep.state.fl.us" target="_blank">pharmwaste-unsubscribe@lists.<wbr>dep.state.fl.us</a> -- the subject line and body of the e-mail should be blank.</span><br><span>If you believe you may be subscribed with a different email address, please visit the subscriber listing at <a href="http://lists.dep.state.fl.us/cgi-bin/mailman/roster/pharmwaste" target="_blank">http://lists.dep.state.fl.us/<wbr>cgi-bin/mailman/roster/<wbr>pharmwaste</a> </span><br><span>FOR PROBLEMS:  Contact List Administrator <a href="mailto:Laurie.Tenace@dep.state.fl.us" target="_blank">Laurie.Tenace@dep.state.fl.us</a> </span><br><span>SEND MAIL to the list server at:  <a href="mailto:pharmwaste@lists.dep.state.fl.us" target="_blank">pharmwaste@lists.dep.state.<wbr>fl.us</a></span><br></div></blockquote></div><br>---<br>
Note: As a courtesy to other listserv subscribers, please post messages to the listserv in plain text format to avoid the garbling of messages received by digest recipients.<br>
---<br>
TO SUBSCRIBE, go to:   <a href="http://lists.dep.state.fl.us/cgi-bin/mailman/listinfo/pharmwaste" rel="noreferrer" target="_blank">http://lists.dep.state.fl.us/<wbr>cgi-bin/mailman/listinfo/<wbr>pharmwaste</a><br>
TO UNSUBSCRIBE, DO NOT REPLY TO THE LISTSERV. Please send an e-mail to <a href="mailto:pharmwaste-unsubscribe@lists.dep.state.fl.us">pharmwaste-unsubscribe@lists.<wbr>dep.state.fl.us</a> -- the subject line and body of the e-mail should be blank.<br>
If you believe you may be subscribed with a different email address, please visit the subscriber listing at <a href="http://lists.dep.state.fl.us/cgi-bin/mailman/roster/pharmwaste" rel="noreferrer" target="_blank">http://lists.dep.state.fl.us/<wbr>cgi-bin/mailman/roster/<wbr>pharmwaste</a><br>
FOR PROBLEMS:  Contact List Administrator <a href="mailto:Laurie.Tenace@dep.state.fl.us">Laurie.Tenace@dep.state.fl.us</a><br>
SEND MAIL to the list server at:  <a href="mailto:pharmwaste@lists.dep.state.fl.us">pharmwaste@lists.dep.state.fl.<wbr>us</a><br></blockquote></div><br></div></div>
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