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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'>An interesting dialogue as always. In my experience in the Northwest corner of the country, most medicine take-back programs accept medicines in any form including liquid, gels, and creams. It’s the exception that exclude liquids. For all the reasons cited, it’s good practice to accept liquid medicines.<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'>I would like to add the public health rationale for WHY it is very important to collect liquid medicines to help reduce the ongoing and growing abuse of both over-the-counter and prescription cough syrups. If you’re not aware of this problem, talk to your local substance abuse prevention groups, especially those that work with youth. And see this info on NIDA’s website: <a href="https://www.drugabuse.gov/publications/drugfacts/cough-cold-medicine-abuse">https://www.drugabuse.gov/publications/drugfacts/cough-cold-medicine-abuse</a><o:p></o:p></span></p><p class=MsoNormal><span style='color:#1F497D'>If NIDA’s info surprises you – google for “purple drank” or “lean” and you’ll be further surprised about this very real problem in our 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'>A number of states have passed laws prohibiting the sale to minors of OTC cough syrups containing dextromethorphan. That’s an important measure to combine with making medicine take-back options for both prescription and over-the-counter medicines more available. <o:p></o:p></span></p><p class=MsoNormal><span style='color:#1F497D'><o:p> </o:p></span></p><p class=MsoNormal><i><span style='font-size:10.0pt;font-family:"Candara",sans-serif;color:#1F497D'>Margaret Shield, PhD<o:p></o:p></span></i></p><p class=MsoNormal><i><span style='font-size:10.0pt;font-family:"Candara",sans-serif;color:#1F497D'>Community Environmental Health Strategies, LLC<o:p></o:p></span></i></p><p class=MsoNormal><i><span style='font-size:10.0pt;font-family:"Candara",sans-serif;color:#1F497D'><a href="mailto:margaret.shield@CEHstrategies.com">margaret.shield@CEHstrategies.com</a><o:p></o:p></span></i></p><p class=MsoNormal><i><span style='font-size:10.0pt;font-family:"Candara",sans-serif;color:#1F497D'>mobile: 206-499-5452<o:p></o:p></span></i></p><p class=MsoNormal><span style='color:#1F497D'><o:p> </o:p></span></p><p class=MsoNormal><a name="_MailEndCompose"><span style='color:#1F497D'><o:p> </o:p></span></a></p><div><div style='border:none;border-top:solid #E1E1E1 1.0pt;padding:3.0pt 0in 0in 0in'><p class=MsoNormal><b>From:</b> Pharmwaste [mailto:pharmwaste-bounces@lists.dep.state.fl.us] <b>On Behalf Of </b>DeBiasi, Deborah (DEQ)<br><b>Sent:</b> Wednesday, March 30, 2016 12:46 PM<br><b>To:</b> Vickie Davis <vdavis@uvlsrpc.org>; pharmwaste@lists.dep.state.fl.us<br><b>Subject:</b> Re: [Pharmwaste] Liquid Pharmaceuticals<o:p></o:p></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:#0000CC'> I have dealt with this issue in Virginia, and have found conflicting information as well. Many of the metal drug collection boxes that law enforcement are using have “No Liquids” printed on them, along with other restrictions. I suspect the ban on liquids was an attempt at preventing spills in the collection bags. Law enforcement isn’t subject to a lot of the restrictions that DEA imposes, and certainly not subject to what’s printed on a collection box, so they can accept liquids if they want to. <o:p></o:p></span></p><p class=MsoNormal><span style='font-size:12.0pt;font-family:"Times New Roman",serif;color:#0000CC'><o:p> </o:p></span></p><p class=MsoNormal><span style='font-size:12.0pt;font-family:"Times New Roman",serif;color:#0000CC'> Law enforcement has the opportunity to see what citizens are dropping in the collection boxes during a drug collection event, whether it is DEA sponsored or local law enforcment sponsored. The opportunity is there for the lids to be tightened on bottles of liquid medications to prevent leakage. Most bottles are plastic these days, so that further reduces the potential for breakage.<o:p></o:p></span></p><p class=MsoNormal><span style='font-size:12.0pt;font-family:"Times New Roman",serif;color:#0000CC'><o:p> </o:p></span></p><p class=MsoNormal><span style='font-size:12.0pt;font-family:"Times New Roman",serif;color:#0000CC'> I have talked to the Covanta waste-to-energy incinerator folks enough to know that they don’t have a problem with getting liquids in the incinerators. Knowing that, the only other issue that DEA may have is just to reduce cost on incinerating all the drugs collected at these take back events, since liquids add more weight than a similar volume of pills. <o:p></o:p></span></p><p class=MsoNormal><span style='font-size:12.0pt;font-family:"Times New Roman",serif;color:#0000CC'><o:p> </o:p></span></p><div><p class=MsoNormal><span style='font-size:9.0pt;font-family:"Times New Roman",serif;color:#000099'>Deborah DeBiasi<o:p></o:p></span></p><p class=MsoNormal><span style='font-size:9.0pt;font-family:"Times New Roman",serif;color:#000099'>804-698-4028<o:p></o:p></span></p><p class=MsoNormal><span style='font-size:9.0pt;font-family:"Times New Roman",serif;color:#000099'><a href="mailto:Deborah.DeBiasi@deq.virginia.gov">Deborah.DeBiasi@deq.virginia.gov</a></span><span style='font-family:"Times New Roman",serif;color:#0000CC'><o:p></o:p></span></p></div><p class=MsoNormal><span style='font-size:12.0pt;font-family:"Times New Roman",serif;color:#0000CC'><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 [<a href="mailto:pharmwaste-bounces@lists.dep.state.fl.us">mailto:pharmwaste-bounces@lists.dep.state.fl.us</a>] <b>On Behalf Of </b>Vickie Davis<br><b>Sent:</b> Wednesday, March 30, 2016 2:50 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> [Pharmwaste] Liquid Pharmaceuticals<o:p></o:p></span></p></div></div><p class=MsoNormal><o:p> </o:p></p><p class=MsoNormal>Hello, <o:p></o:p></p><p class=MsoNormal><o:p> </o:p></p><p class=MsoNormal>My apologies if this has already been discussed as meds are not the major focus of my job, and I only skim the e-mails on pharmwaste.<o:p></o:p></p><p class=MsoNormal><o:p> </o:p></p><p class=MsoNormal>I have someone who would like to dispose of pre-charged heparin syringes. The police stations with daily take-back programs do not take liquid medicine. This is understandable since it gets tossed into a box and glass could get broken or plastic squashed to splash medicine in the box. So, I thought perhaps the annual DEA collections might be the answer. I had already called the “big” pharmacy at our “big” hospital, and they are not going to take any meds, and it’s not legal in NH for them to do so.<o:p></o:p></p><p class=MsoNormal><o:p> </o:p></p><p class=MsoNormal>I called DEA in Virginia and was told that the national DEA collections do not take liquid medicine. The person I spoke with directed me to an EPA phone number. I did not call as I assumed they would tell me to mix the liquid with something dry and throw it into the trash. I then called the regional DEA office in New Hampshire and was told that the national program CAN take liquids. I explained my previous conversation, and that it is not comfortable to share information if I don’t know for sure that everyone agrees that liquid can be taken. I don’t want to send people to these annual or semi-annual collections with liquid medicine and have them turned away with not resolution about what to do with liquid meds. I left a message for a guy at DEA who’s on vacation, but I suspect that my one voice is not going to make a change at DEA.<o:p></o:p></p><p class=MsoNormal><o:p> </o:p></p><p class=MsoNormal>I then called a local police station to ask if they would accept liquids at the national collection. This police station is in a little city (that’s all we have if they are cities at all in this rural neck of the woods) that services many towns. The detective said that they already have a box through DEA and although they will participate in the national collection, the box states they cannot take liquid so they won’t take liquids at the national collection. To get off the phone with me, he told me they would take liquid meds from this one person I’m trying to find a solution for. This actually wasn’t helpful as the person lives away from here in Vermont.<o:p></o:p></p><p class=MsoNormal><o:p> </o:p></p><p class=MsoNormal>My concern is not having a standard message at DEA which then gets shared with local police participating in the national collection.<o:p></o:p></p><p class=MsoNormal><o:p> </o:p></p><p class=MsoNormal>Has anyone else encountered this issue? It feels like a big hole in the drug takeback program. I don’t think the liquid meds should go in the landfill. Is it possible to collectively or individually send a message to DEA or is it not a problem for you? This type of unclear directive really frustrates me.<o:p></o:p></p><p class=MsoNormal><o:p> </o:p></p><p class=MsoNormal>Thank you.<o:p></o:p></p><p class=MsoNormal><o:p> </o:p></p><p class=MsoNormal>Vickie<o:p></o:p></p><p class=MsoNormal><o:p> </o:p></p><p class=MsoNormal><span style='color:#1F497D'>Victoria Davis<o:p></o:p></span></p><p class=MsoNormal><span style='color:#1F497D'>Upper Valley Lake Sunapee Regional Planning Commission<o:p></o:p></span></p><p class=MsoNormal><span style='color:#1F497D'>10 Water Street, Suite 225<o:p></o:p></span></p><p class=MsoNormal><span style='color:#1F497D'>Lebanon, NH 03766<o:p></o:p></span></p><p class=MsoNormal><span style='color:#1F497D'>603-448-1680<o:p></o:p></span></p><p class=MsoNormal><span style='color:#1F497D'>603-448-0170 fax<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'>Visit our Household Hazardous Waste web site at <a href="http://hhw.uvlsrpc.org/">http://hhw.uvlsrpc.org</a><o:p></o:p></span></p><p class=MsoNormal><span style='color:#1F497D'>Visit our Waste web site at <a href="http://waste.uvlsrpc.org/">http://waste.uvlsrpc.org</a><o:p></o:p></span></p><p class=MsoNormal><span style='color:#1F497D'>Visit the Healthy Home Facebook Page at <a href="http://www.facebook.com/HealthyHomeProgram">www.Facebook.com/HealthyHomeProgram</a> <o:p></o:p></span></p><p class=MsoNormal><span style='font-size:10.0pt;color:#1F497D'><o:p> </o:p></span></p><p class=MsoNormal><span style='font-size:10.0pt;color:#1F497D'><a href="http://visitor.r20.constantcontact.com/d.jsp?llr=7jf5uhcab&p=oi&m=1101915952444">Join our Mailing List</a><o:p></o:p></span></p><p class=MsoNormal><a href="http://www.facebook.com/UVLSRPC"><span style='font-family:"Bell MT",serif;color:#1F497D;text-decoration:none'><img border=0 width=117 height=44 style='width:1.2222in;height:.4583in' id="Picture_x0020_1" src="cid:image002.jpg@01D18C49.D5475C60" alt=facebook></span></a><span style='color:#1F497D'><o:p></o:p></span></p><p class=MsoNormal><span lang=FR-CA style='font-size:13.5pt;font-family:Webdings;color:#4FAD26'>ü</span><span lang=FR-CA style='font-size:10.0pt;font-family:"Arial Narrow",sans-serif;color:#4FAD26'> Please consider the environment before printing this e-mail. </span><b><span style='font-size:24.0pt;font-family:Webdings;color:green'>P<o:p></o:p></span></b></p><p class=MsoNormal><span style='color:#1F497D'><o:p> </o:p></span></p><p class=MsoNormal><o:p> </o:p></p></div></body></html>