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<div style="direction: ltr;font-family: Tahoma;color: #000000;font-size: 10pt;">Hi Burke,<br>
<br>
1. I have read at least one news story about medications being left beside a full box.<br>
2. You are correct that law enforcement doesn't have to follow all of the DEA rules. They must follow their own procedures. They can choose to use clear plastic inner liners or otherwise screen what has been collected.
<br>
3. Law enforcement is bound by HIPPA. Unless access to the box was restricted to law enforcement, any view port must not allow personal information to be read on a prescription bottle.<br>
4. Though labor intensive, the system you describe of having the police receptionist prescreen deposits sounds like a very effective way to keep unwanted items out and to encourage recycling.<br>
<div><br>
<div style="font-family:Tahoma; font-size:13px">
<div style="font-family:Tahoma; font-size:13px"><font><span style="font-size:" 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"><sup>rd</sup></font> Street</div>
<div>Ithaca, NY 14850</div>
<div>(607) 273-8381</div>
<div>fax: (607) 273-8433</div>
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<div style="direction: ltr;" id="divRpF811752"><font color="#000000" face="Tahoma" size="2"><b>From:</b> Pharmwaste [pharmwaste-bounces@lists.dep.state.fl.us] on behalf of Lucy, Burke@CalRecycle [Burke.Lucy@CalRecycle.ca.gov]<br>
<b>Sent:</b> Tuesday, March 15, 2016 8:48 PM<br>
<b>To:</b> 'DeBiasi, Deborah (DEQ)'; 'pharmwaste@lists.dep.state.fl.us'<br>
<b>Subject:</b> Re: [Pharmwaste] Do people leave meds outside your bins?<br>
</font><br>
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<p class="MsoNormal"><span style="color:#1F497D">Thanks Deborah, that’s helpful.
</span></p>
<p class="MsoNormal"><span style="color:#1F497D"> </span></p>
<p class="MsoNormal"><span style="color:#1F497D">I’m sure programs are limited by the collection bins they already have but as I’m reading them, the DEA regs seem to allow for collection receptacle
<a href="http://cdn6.bigcommerce.com/s-hmxp9/product_images/uploaded_images/dvc0024-7-top.jpg?t=1410467249" target="_blank">
view ports</a> at least so you can see how full it is and potentially what’s in there. The DEA says once they’re deposited, drugs shall not be individually handled [<a href="http://www.deadiversion.usdoj.gov/fed_regs/rules/2014/2014-20926.pdf" target="_blank">§1317.75(c)</a>]
but that’s in the context of collectors, which excludes law enforcement. The DEA discussion section says, “Law enforcement are encouraged to follow the guidance in 21 CFR 1317.35; however, they are not required to do so.” Otherwise, the DEA regs just say,
“The contents of the inner liner shall not be viewable from the outside when sealed” [<a href="http://www.deadiversion.usdoj.gov/fed_regs/rules/2014/2014-20926.pdf" target="_blank">§1317.60(a)(3)</a>]. So, if they could see bad stuff through view ports, I
suspect law enforcement could pick them out before the liner is sealed (although I’d be careful of sharps).
</span></p>
<p class="MsoNormal"><span style="color:#1F497D"> </span></p>
<p class="MsoNormal"><span style="color:#1F497D">Burke</span></p>
<p class="MsoNormal"><span style="color:#1F497D"> </span></p>
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<p class="MsoNormal"><b>From:</b> DeBiasi, Deborah (DEQ) [mailto:Deborah.DeBiasi@deq.virginia.gov]
<br>
<b>Sent:</b> Tuesday, March 15, 2016 3:56 PM<br>
<b>To:</b> Lucy, Burke@CalRecycle <Burke.Lucy@CalRecycle.ca.gov>; 'pharmwaste@lists.dep.state.fl.us' <pharmwaste@lists.dep.state.fl.us><br>
<b>Subject:</b> RE: [Pharmwaste] Do people leave meds outside your bins?</p>
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<p class="MsoNormal"><span style="font-size:10.0pt; font-family:"Tahoma",sans-serif; color:black">Hello, Burke -<br>
<br>
I'm not familiar with any pharmacies that have had this problem, but that doesn't mean it isn't happening. I'm mostly familiar with the issues law enforcement have been having.<br>
<br>
A couple of the police stations that have collection boxes only allow for them to be accessed during normal business hours. The box is located in their lobby and is locked, so the procedure is for a person to come into the lobby and tell the receptionist
they want to drop off drugs. The receptionist comes out with a clear plastic bin for the person to put their drugs in, so that the receptionist can make sure that only drugs are being disposed of. The bin is then emptied into the collection box and the box
is re-locked. <br>
<br>
When the police had the collection box accessible to the public without nearby scrutiny, they discovered that a lot of non-drug things were being tossed in. They found trash, some garbage, kid's toys, and even ammo in the collection bag when they spot-checked
it. In the interest of safety, this was the procedure they came up with. I have heard a lot of grumbling about the DEA requirement to use an opaque bag in the collection box, since the contents can't be visually screened for unacceptable and possibly dangerous
items. </span></p>
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<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"> Pharmwaste [pharmwaste-bounces@lists.dep.state.fl.us]
on behalf of Lucy, Burke@CalRecycle [Burke.Lucy@CalRecycle.ca.gov]<br>
<b>Sent:</b> Tuesday, March 15, 2016 5:59 PM<br>
<b>To:</b> 'pharmwaste@lists.dep.state.fl.us'<br>
<b>Subject:</b> [Pharmwaste] Do people leave meds outside your bins?</span><span style="font-size:12.0pt; font-family:"Times New Roman",serif; color:black"></span></p>
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<p class="MsoNormal"><span style="color:black">Hi all,</span></p>
<p class="MsoNormal"><span style="color:black"> </span></p>
<p class="MsoListParagraph" style="text-indent:-.25in"><span style="color:black">1.</span><span style="font-size:7.0pt; font-family:"Times New Roman",serif; color:black">
</span><span style="color:black">Do you know of any instances where customers left a bag of pills outside a collection receptacle if it’s locked (e.g., because it’s full or it’s after hours in a grocery store pharmacy for instance)? </span></p>
<p class="MsoListParagraph" style="text-indent:-.25in"><span style="color:black">2.</span><span style="font-size:7.0pt; font-family:"Times New Roman",serif; color:black">
</span><span style="color:black">How many pharmacies do you know this does and/or does not happen in? </span></p>
<p class="MsoNormal"><span style="color:black"> </span></p>
<p class="MsoNormal"><span style="color:black">Feel free to email me directly if you prefer. California’s Board of Pharmacy proposed regulations allowing pharmacies to accept take-back drugs, which includes this: “In hours when the pharmacy is closed, the
collection receptacle shall not be accessible to the public for deposit of drugs. The pharmacy shall lock the deposit slot on the collection receptacle and physically block patients from access to the collection receptacle by some means” [<a href="http://www.pharmacy.ca.gov/laws_regs/1776_proposed.pdf" target="_blank">§1776.3(a)</a>].
I’m wondering how necessary or potentially onerous this requirement may be and their comment period is closing soon.
</span></p>
<p class="MsoNormal"><span style="color:black"> </span></p>
<p class="MsoNormal"><span style="color:black">Thanks,</span></p>
<p class="MsoNormal"><span style="color:black"> </span></p>
<p class="MsoNormal"><span style="color:black">Burke</span></p>
<p class="MsoNormal"><span style="color:black"> </span></p>
<p class="MsoNormal"><span style="color:black"> </span></p>
<p class="MsoNormal"><span style="color:black">Mr. Burke Lucy</span></p>
<p class="MsoNormal"><span style="color:black">Environmental Scientist</span></p>
<p class="MsoNormal"><span style="color:black">Department of Resources Recycling and Recovery (CalRecycle)</span></p>
<p class="MsoNormal"><span style="color:black">1001 I Street, PO Box 4025</span></p>
<p class="MsoNormal"><span style="color:black">Sacramento, CA 95812</span></p>
<p class="MsoNormal"><span style="color:black"><a href="mailto:Burke.Lucy@CalRecycle.ca.gov" target="_blank"><span style="color:blue">Burke.Lucy@CalRecycle.ca.gov</span></a></span></p>
<p class="MsoNormal"><span style="color:black">916.341.6592</span></p>
<p class="MsoNormal"><span style="color:black"><a href="http://www.calrecycle.ca.gov/" target="_blank"><span style="font-size:9.5pt; font-family:"Arial",sans-serif; color:#3754D4; text-decoration:none"><img id="Picture_x0020_18" src="cid:image001.jpg@01D17ED8.7BB1CA60" alt="California Department of Resources Recycling and Recovery (CalRecycle)" border="0" height="43" width="147"></span></a></span></p>
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