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</o:shapelayout></xml><![endif]--></head><body lang=EN-US link="#0563C1" vlink="#954F72"><div class=WordSection1><p class=MsoNormal><span style='color:#1F497D'>Hi Heidi 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'>While I agree with elimination of the sewering of pharmaceuticals and believe the FDA, DEA and EPA need consistency in their approach, source reduction of pharmaceuticals is the best way to deal with this issue. I would like to see language added to the letter that advocates for non-drug therapies, use of the least toxic/persistent drug, minimizing prescription size/doses where possible and buying the smallest container of OTC drugs. <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'>Incineration may be a somewhat better disposal method, but it still has impacts in terms of air quality and disposal on the land. And, then there are the resources consumed and waste created with the manufacture of pharmaceuticals, see EPA’s sector notebook, most recent edition is 1997 <a href="https://clu-in.org/download/toolkit/pharma.pdf">https://clu-in.org/download/toolkit/pharma.pdf</a> <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'>We have to start the conversation about source reduction; this letter is a good place to start. <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>Tenace, Laurie<br><b>Sent:</b> Wednesday, January 06, 2016 6:41 AM<br><b>To:</b> 'pharmwaste@lists.dep.state.fl.us'<br><b>Subject:</b> [Pharmwaste] FW: Final Call For Sign Ons to Letter to FDA Asking them to Stop Advising Flushing of Meds - due Jan. 19th<o:p></o:p></span></p></div></div><p class=MsoNormal><o:p> </o:p></p><p class=MsoNormal><span style='color:#1F497D'>All,<o:p></o:p></span></p><p class=MsoNormal><span style='color:#1F497D'>Please note this did not originate with me.<o:p></o:p></span></p><p class=MsoNormal><span style='color:#1F497D'>(Heidi, I’ll check your membership with this address!)<o:p></o:p></span></p><p class=MsoNormal><span style='color:#1F497D'>Laurie<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 #E1E1E1 1.0pt;padding:3.0pt 0in 0in 0in'><p class=MsoNormal><b>From:</b> Heidi Sanborn [<a href="mailto:Heidi@nsaction.us">mailto:Heidi@nsaction.us</a>] <br><b>Sent:</b> Tuesday, January 05, 2016 11:00 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> Final Call For Sign Ons to Letter to FDA Asking them to Stop Advising Flushing of Meds - due Jan. 19th<o:p></o:p></p></div></div><p class=MsoNormal><o:p> </o:p></p><p class=MsoNormal>Dear Pharma Listserv Members:<o:p></o:p></p><p class=MsoNormal><o:p> </o:p></p><p class=MsoNormal>Attached you will find the final letter to the FDA asking them to stop advising the flushing of medications. <o:p></o:p></p><p class=MsoNormal><span style='color:#1F497D'><o:p> </o:p></span></p><p class=MsoNormal><b><span style='color:red'>If you wish to sign on, please send Jordan at <a href="mailto:jordan@nsaction.us">jordan@nsaction.us</a> the name, title, organization, and logo for signing on.<o:p></o:p></span></b></p><p class=MsoNormal><b><span style='color:red'><o:p> </o:p></span></b></p><p class=MsoNormal><b><span style='color:red'>If you already signed on, please review the letter to ensure your entity’s name, logo, contact and title are correct. </span></b> If it is not, please email Jordan at <a href="mailto:jordan@nsaction.us">jordan@nsaction.us</a> with any changes. <span style='color:#1F497D'><o:p></o:p></span></p><p class=MsoNormal><o:p> </o:p></p><p class=MsoNormal><u>We have extended the deadline to COB January 19<sup>th</sup> </u>due to so many requests to sign on and plan to send it out shortly thereafter. Please share this letter with other interested parties – our email list is limited and we hope a long list of support will finally get the media attention and put an end to the government advising meds be flushed. <o:p></o:p></p><p class=MsoNormal><o:p> </o:p></p><p class=MsoNormal>We will be working on a press plan to announce this letter being sent and will keep you posted.<o:p></o:p></p><p class=MsoNormal><o:p> </o:p></p><p class=MsoNormal>This is a large undertaking and financial contributions are needed to continue this important work. For more information about the National Stewardship Action Council visit <a href="http://www.nsaction.us">www.nsaction.us</a>. <b>To donate, go to <a href="http://nsaction.us/donate/">http://nsaction.us/donate/</a>.<o:p></o:p></b></p><p class=MsoNormal><o:p> </o:p></p><p class=MsoNormal>In partnership,<o:p></o:p></p><p class=MsoNormal><o:p> </o:p></p><p class=MsoNormal>Heidi Sanborn<o:p></o:p></p><p class=MsoNormal><span style='color:#1F497D'><o:p> </o:p></span></p><p class=MsoNormal><b><span style='color:#003399'>Heidi Sanborn<o:p></o:p></span></b></p><p class=MsoNormal><span style='color:#003399'>Executive Director<o:p></o:p></span></p><p class=MsoNormal><span style='color:#1F497D'><img border=0 width=236 height=97 id="Picture_x0020_1" src="cid:image001.jpg@01D14935.62E23020" alt="NSAC Final logo-01 (33%)"></span><b><span style='color:#003399'><o:p></o:p></span></b></p><p class=MsoNormal><span style='color:#1F497D'>1822 21<sup>st</sup> Street, Suite 200<o:p></o:p></span></p><p class=MsoNormal><span style='color:#1F497D'>Sacramento, CA 95811</span><b><span style='color:#003399'><o:p></o:p></span></b></p><p class=MsoNormal><span style='color:#1F497D'>916-706-3420<o:p></o:p></span></p><p class=MsoNormal><a href="mailto:nsacpres@gmail.com"><i><span style='color:blue'>heidi@nsaction.us</span></i></a><span style='color:#1F497D'><o:p></o:p></span></p><p class=MsoNormal><a href="http://www.nsaction.us/"><span style='color:blue'>www.nsaction.us</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><p class=MsoNormal><span style='color:#1F497D'><o:p> </o:p></span></p></div></body></html>