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<p class="MsoNormal"><span style="color:#1F497D">The summary of advice from the federal government is interesting. At one point USFWS also had advice (contradictory to EPA). Is that still the case? My quick search didn’t reveal it. And does USGS also post
advice? <o:p></o:p></span></p>
<p class="MsoNormal"><span style="color:#1F497D"><o:p> </o:p></span></p>
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<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Arial","sans-serif";color:#1F497D">Susan E. Boehme Ph.D.<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Arial","sans-serif";color:#1F497D">Principal Consultant<br>
ERM<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Arial","sans-serif";color:#1F497D">Sediment and Watershed Integrated Management Practice (SWiM)<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-family:"Cambria","serif";color:black"><o:p> </o:p></span></p>
<p class="MsoNormal"><i><span style="font-family:"Cambria","serif";color:black">295 Madison Avenue, Suite 8A<o:p></o:p></span></i></p>
<p class="MsoNormal"><i><span style="font-family:"Cambria","serif";color:black">New York, NY 10017<o:p></o:p></span></i></p>
<p class="MsoNormal"><i><span style="font-family:"Cambria","serif";color:black"><o:p> </o:p></span></i></p>
<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Arial","sans-serif";color:#1F497D">T: +1 212 803 0206
</span><span style="font-size:10.0pt;color:#1F497D"><o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Arial","sans-serif";color:#1F497D">F: +1 212 447 1904<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Arial","sans-serif";color:#1F497D">M: +1 917 345 4514
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</span><span style="color:#1F497D"><a href="mailto:susan.boehme@ERM.com" title="mailto:eric.stern@ERM.com"><span style="font-size:10.0pt;font-family:"Arial","sans-serif";color:blue">susan.boehme@ERM.com</span></a></span><span style="font-size:10.0pt;font-family:"Arial","sans-serif";color:#1F497D">
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<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Arial","sans-serif";color:navy"><a href="http://www.erm.com/" title="http://www.erm.com/"><span style="color:black">www.erm.com</span></a><o:p></o:p></span></p>
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<p class="MsoNormal"><span style="color:#1F497D"><o:p> </o:p></span></p>
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<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 [mailto:pharmwaste-bounces@lists.dep.state.fl.us]
<b>On Behalf Of </b>Tenace, Laurie<br>
<b>Sent:</b> Monday, April 11, 2016 8:01 AM<br>
<b>To:</b> 'pharmwaste@lists.dep.state.fl.us'<br>
<b>Subject:</b> [Pharmwaste] what federal agencies actually say about medicine disposal<o:p></o:p></span></p>
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<p class="MsoNormal"><o:p> </o:p></p>
<p class="MsoNormal"><a name="_MailEndCompose"><span style="color:#1F497D">Please note this did not originate with me and please always contact me if your posts do not go through – Laurie</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>
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<p class="MsoNormal"><b><span style="color:#1F497D"><o:p> </o:p></span></b></p>
<p class="MsoNormal"><b><span style="color:#1F497D"><o:p> </o:p></span></b></p>
<p class="MsoNormal"><b>From:</b> <a href="mailto:margaret.shield@cehstrategies.com">
margaret.shield@cehstrategies.com</a> [<a href="mailto:margaret.shield@cehstrategies.com">mailto:margaret.shield@cehstrategies.com</a>]
<br>
<b>Sent:</b> Thursday, April 7, 2016 4:14 PM<br>
<b>To:</b> 'Pharmwaste' <<a href="mailto:pharmwaste-bounces@lists.dep.state.fl.us">pharmwaste-bounces@lists.dep.state.fl.us</a>><br>
<b>Subject:</b> what federal agencies actually say about medicine disposal<o:p></o:p></p>
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<p class="MsoNormal"><o:p> </o:p></p>
<p class="MsoNormal">Good afternoon,<o:p></o:p></p>
<p class="MsoNormal">There’s persistent incomplete information circulating about federal medicine disposal guidances pertaining to trash disposal, aka “in home disposal” of medicines.
<o:p></o:p></p>
<p class="MsoNormal"><u>None</u> of the federal agencies recommend trash disposal as
<u>the</u> way to dispose of medicines. <o:p></o:p></p>
<p class="MsoNormal"><u>All</u> federal agencies recommend medicine take-back programs as better than “in-home disposal”.
<o:p></o:p></p>
<p class="MsoNormal"><o:p> </o:p></p>
<p class="MsoNormal">It’s easy to verify this, but to make it easier, see the attached 3 page handout showing the current medicine disposal positions of EPA, DEA, and FDA for clarification in cases of confusion. Please apply as needed until the symptoms are
gone.<o:p></o:p></p>
<p class="MsoNormal"><o:p> </o:p></p>
<p class="MsoNormal">I hope the FDA will listen to the comments it is receiving and soon remove its guidance to flush certain medications. Interestingly, even for those especially dangerous medicines, FDA recommends use of a medicine take-back program first.<o:p></o:p></p>
<p class="MsoNormal" style="mso-margin-top-alt:6.0pt;margin-right:0in;margin-bottom:0in;margin-left:.5in;margin-bottom:.0001pt;line-height:14.45pt;background:white">
<b><span style="font-size:10.5pt;font-family:"Helvetica","sans-serif";color:#333333">Flushing of Certain Medicines </span></b><span style="font-size:10.5pt;font-family:"Helvetica","sans-serif";color:#333333"><o:p></o:p></span></p>
<p class="MsoNormal" style="margin-left:.5in;line-height:14.45pt;background:white">
<span style="font-size:10.5pt;font-family:"Helvetica","sans-serif";color:#333333">There is a small number of medicines that may be especially harmful and, in some cases, fatal with just one dose if they are used by someone other than the person for whom the
medicine was prescribed. <span style="background:yellow;mso-highlight:yellow">To prevent accidental ingestion of these potentially dangerous medicines by children, or pets, it is recommended that these medicines be disposed of quickly through a medicine take-back
program or by transferring them to a DEA-authorized collector. If these disposal options are not readily available, it is recommended that these medicines be flushed down the sink or toilet as soon as they are no longer needed.</span> Click here for a <a href="http://www.fda.gov/drugs/resourcesforyou/consumers/buyingusingmedicinesafely/ensuringsafeuseofmedicine/safedisposalofmedicines/ucm186187.htm#Flush_List"><span style="color:#005F9F">list
of medicines recommended for disposal by flushing.</span></a><o:p></o:p></span></p>
<p class="MsoNormal"><o:p> </o:p></p>
<p class="MsoNormal"><o:p> </o:p></p>
<p class="MsoNormal"><i><span style="font-size:10.0pt;font-family:"Candara","sans-serif"">Margaret Shield, PhD</span></i><o:p></o:p></p>
<p class="MsoNormal"><b><i><span style="font-size:10.0pt;font-family:"Candara","sans-serif"">Community Environmental Health Strategies, LLC</span></i><o:p></o:p></b></p>
<p class="MsoNormal"><a href="mailto:margaret.shield@CEHstrategies.com"><i><span style="font-size:10.0pt;font-family:"Candara","sans-serif";color:blue">margaret.shield@CEHstrategies.com</span></i></a><o:p></o:p></p>
<p class="MsoNormal"><i><span style="font-size:10.0pt;font-family:"Candara","sans-serif"">mobile: 206-499-5452</span></i><o:p></o:p></p>
<p class="MsoNormal"><o:p> </o:p></p>
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