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<p class="MsoNormal"><span style="font-family:"Calibri Light",sans-serif;color:#1F497D">Until the FDA directive to flush controlled substances goes away…<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-family:"Calibri Light",sans-serif;color:#1F497D"><o:p> </o:p></span></p>
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<p class="MsoNormal"><b><span style="font-size:11.0pt;font-family:"Calibri",sans-serif">From:</span></b><span style="font-size:11.0pt;font-family:"Calibri",sans-serif"> Pharmwaste [mailto:pharmwaste-bounces@lists.dep.state.fl.us]
<b>On Behalf Of </b>Ed Gottlieb<br>
<b>Sent:</b> Wednesday, September 13, 2017 4:12 PM<br>
<b>To:</b> pharmwaste@lists.dep.state.fl.us<br>
<b>Subject:</b> [Pharmwaste] CNBC: It's a nationwide opioid epidemic: Do you know what's in your pill cabinet?"<o:p></o:p></span></p>
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<p class="MsoNormal"><o:p> </o:p></p>
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<span style="font-size:10.0pt;font-family:"Gotham Narrow SSm 4r",serif;color:#333333;font-weight:normal">"It's a nationwide opioid epidemic: Do you know what's in your pill cabinet?"
</span><span style="font-size:27.0pt;font-family:"Gotham Narrow SSm 4r",serif;color:#333333;font-weight:normal"><a href="https://www.cnbc.com/2017/09/13/american-hoarders-helping-push-up-rates-of-opioid-addiction-overdose.html"><span style="font-size:10.0pt">https://www.cnbc.com/2017/09/13/american-hoarders-helping-push-up-rates-of-opioid-addiction-overdose.html</span></a><o:p></o:p></span></h1>
<p><span style="font-size:10.0pt;font-family:"Tahoma",sans-serif;color:black">Sent feedback:<o:p></o:p></span></p>
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<p><span style="font-size:10.0pt;font-family:"Tahoma",sans-serif;color:black">Thanks for covering this vital topic!<br>
1. Take-back is the preferred method of disposal according to the DEA, EPA, FDA, etc. You should not talk about flushing first! Flushing is an option for a side note, if mentioned at all: only use for a few medications listed by FDA and only if take-back
is not available. Otherwise it should not be used at all.<br>
2. The statement, "Even year-round drop-off at select sites lacks a key component: incentive." is incorrect. Take-back is fairly new in the U.S., other countries have long running programs and none need or use incentives to have high participation rates.
French program awareness: 77% of the population returns unused medicines to the pharmacist, 70% of which responded “always”.* Convenience and program promotion are key to high participation rates.
<br>
* <a href="https://calpsc.org/mobius/cpsc-content/uploads/2015/05/France_Fact_Sheet_FINAL_2_3_2015.pdf">
https://calpsc.org/mobius/cpsc-content/uploads/2015/05/France_Fact_Sheet_FINAL_2_3_2015.pdf</a><br>
from: <a href="https://calpsc.org/products/pharmaceuticals/">https://calpsc.org/products/pharmaceuticals/</a><br>
3. Building on many local and two state extended producer responsibility laws, we need a federal law mandating a take-back program, to be organized and paid for by drug manufactures, with well defined convenience requirements.<o:p></o:p></span></p>
<p><span style="font-size:10.0pt;font-family:"Tahoma",sans-serif;color:black"><br>
Thanks for your consideration!<o:p></o:p></span></p>
</blockquote>
<p><span style="font-size:10.0pt;font-family:"Tahoma",sans-serif;color:black"><br>
Ed Gottlieb<br>
Chair, Coalition for Safe Medication Disposal<br>
Board Member, New York Product Stewardship Council<br>
Industrial Pretreatment Coordinator</span><span style="font-family:"Tahoma",sans-serif;color:black"><o:p></o:p></span></p>
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<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Tahoma",sans-serif;color:black">Ithaca Area Wastewater Treatment Facility<br>
525 3<sup>rd</sup> Street<o:p></o:p></span></p>
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<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Tahoma",sans-serif;color:black">Ithaca, NY 14850<o:p></o:p></span></p>
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<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Tahoma",sans-serif;color:black">(607) 273-8381<o:p></o:p></span></p>
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<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Tahoma",sans-serif;color:black">fax: (607) 273-8433<o:p></o:p></span></p>
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