<div dir="ltr">Since late 2016, the State of Colorado has been operating and expanding its successful Household Medication Take-Back Program, utilizing the contracted services of Assured Waste Solutions, LLC of Gastonia, NC. The Colorado Department of Public Health and Environment, in partnership with the <a href="http://www.corxconsortium.org/">Colorado Consortium for Prescription Drug Abuse Prevention</a> and numerous stakeholders, used a stepwise approach to establish the program through legislation, Solid and Hazardous Waste Commission rulemaking, an annual $300,000 legislative appropriation, and program promotional campaigns. More than 80 collection sites have been established to-date at law enforcement agencies, retail pharmacies, hospitals and clinics. The department is working to achieve the Governor's goal of establishing at least one permanent collection site in each of Colorado's 64 counties by the end of 2018. The annual appropriation allows the department to meet this goal and establish multiple locations in more heavily populated counties or counties most heavily impacted by the opioid abuse epidemic.<div><br></div><div>In order to provide a centralized, consistent message for Colorado residents on the proper disposal of unused household medications, the program is branded to the website <a href="http://takemedsback.org">takemedsback.org</a>. This website, administered by the Consortium, is the disposal information landing page for the broader website, <a href="http://takemedsseriously.org">takemedsseriously.org</a>, which promotes the safe use, safe storage and safe disposal of household medications. Along with state program collection locations, <a href="http://takemedsback.org">takemedsback.org</a> also lists locations of other programs, including Walgreens and Kaiser-Permanente. </div><div><br></div><div>I'm happy to discuss our program with anyone who is interested in having more information.</div><div><br></div><div>Greg Fabisiak</div><div>Colorado Department of Public Health and Environment</div><div>303-692-2903</div><div><a href="mailto:greg.fabisiak@state.co.us">greg.fabisiak@state.co.us</a></div><div><br></div><div class="gmail_extra"><br><div class="gmail_quote">On Tue, Oct 31, 2017 at 7:27 PM, <span dir="ltr"><<a href="mailto:pharmwaste-request@lists.dep.state.fl.us" target="_blank">pharmwaste-request@lists.dep.state.fl.us</a>></span> wrote:<br><blockquote class="gmail_quote" style="margin:0 0 0 .8ex;border-left:1px #ccc solid;padding-left:1ex">Send Pharmwaste mailing list submissions to<br>
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When replying, please edit your Subject line so it is more specific<br>
than "Re: Contents of Pharmwaste digest..."<br>
<br>Today's Topics:<br>
<br>
1. Re: Pharmwaste Listserv concerns (Volkman, Jennifer (MPCA))<br>
2. Need info on statewide programs (Jaramillo, Jeanie)<br>
<br><br>---------- Forwarded message ----------<br>From: "Volkman, Jennifer (MPCA)" <<a href="mailto:jennifer.volkman@state.mn.us">jennifer.volkman@state.mn.us</a>><br>To: "<a href="mailto:pharmwaste@lists.dep.state.fl.us">pharmwaste@lists.dep.state.fl.us</a>" <<a href="mailto:pharmwaste@lists.dep.state.fl.us">pharmwaste@lists.dep.state.fl.us</a>><br>Cc: <br>Bcc: <br>Date: Tue, 31 Oct 2017 23:00:37 +0000<br>Subject: Re: [Pharmwaste] Pharmwaste Listserv concerns<br>
<div lang="EN-US" link="#0563C1" vlink="#954F72">
<div class="m_7969097500569133809WordSection1">
<p class="MsoNormal"><span style="color:#1f497d">The traffic cycles with issues. Initially it was a lot of studies outlining impacts to the environment and drinking water. Then we learned pharms are everywhere, so you can just google that sort of thing if you
need it. There was a lot of traffic just before and after the DEA rules became effective, which was very helpful. The latest areas of interest are product stewardship actions to get manufacturers on board to help deal with the waste issue; and the ongoing
discussion of 45’s approach to the opioid crisis, as Ed shared earlier. Catherine is correct that we should be pushing upstream. I think the list serve still has value and if you can hang on awhile, I think it is worth it.
<u></u><u></u></span></p>
<p class="MsoNormal"><span style="color:#1f497d"><u></u> <u></u></span></p>
<p class="MsoNormal"><span style="color:#1f497d">I would prefer not to see advertising, but my comments have always surrounded the notion that it should be fair—either everyone gets to, or no one gets to. Some long time participants have done a super job of
increasing our knowledge while not hawking their services. Then a few odd balls show up and only claim they have “the best option” for dealing with the problem for only $x.99, vs. sharing knowledge. Again, google is your friend. <u></u><u></u></span></p>
<p class="MsoNormal"><span style="color:#1f497d"><u></u> <u></u></span></p>
<p class="MsoNormal"><span style="color:#1f497d">Thank you for everything you and the state have done to support the list serve! I wish I could set it up here, but looks like that’s a no go.
<u></u><u></u></span></p>
<p class="MsoNormal"><span style="color:#1f497d"><u></u> <u></u></span></p>
<p class="MsoNormal"><span style="color:#1f497d">Cheers,<u></u><u></u></span></p>
<p class="MsoNormal"><span style="color:#1f497d">Jennifer Volkman<u></u><u></u></span></p>
<p class="MsoNormal"><span style="color:#1f497d"><u></u> <u></u></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> Pharmwaste [mailto:<a href="mailto:pharmwaste-bounces@lists.dep.state.fl.us" target="_blank">pharmwaste-bounces@<wbr>lists.dep.state.fl.us</a>]
<b>On Behalf Of </b>Catherine Zimmer<br>
<b>Sent:</b> Monday, October 30, 2017 10:09 AM<br>
<b>To:</b> 'Scarborough, Jill R.' <<a href="mailto:Jill.R.Scarborough@dep.state.fl.us" target="_blank">Jill.R.Scarborough@dep.state.<wbr>fl.us</a>>; <a href="mailto:pharmwaste@lists.dep.state.fl.us" target="_blank">pharmwaste@lists.dep.state.fl.<wbr>us</a><br>
<b>Subject:</b> Re: [Pharmwaste] Pharmwaste Listserv concerns<u></u><u></u></p>
</div>
</div>
<p class="MsoNormal"><u></u> <u></u></p>
<p class="MsoNormal"><span style="color:#1f497d">Hi Jill and all,<u></u><u></u></span></p>
<p class="MsoNormal"><span style="color:#1f497d"><u></u> <u></u></span></p>
<p class="MsoNormal"><span style="color:#1f497d">Jill, thank you for coordinating the list. I believe the list still has value as a place to exchange information about what is happening in the world of pharmaceutical waste. I believe the exchanges have diminished
due to the increase in pharmaceutical waste collection—both programs and vendor supplied systems. And, attrition on the list due to retirement and sadly, death. I agree with others on the list that this is not the place for vendors to advertise their products.
<u></u><u></u></span></p>
<p class="MsoNormal"><span style="color:#1f497d"><u></u> <u></u></span></p>
<p class="MsoNormal"><span style="color:#1f497d">I also would like to see the list focus more on source reduction of pharmaceuticals, e.g. minimized prescription sizes and minimized prescriptions/human/animal ingestion in general. Or, how do we prevent these
biologically active chemicals from release to the environment where a significant body of evidence indicates Wildlife is being impacted? If we aren’t going to source reduce drug (and other chemical waste) then, we must, as Switzerland is doing, pay for tertiary
treatment at the wastewater plant. <u></u><u></u></span></p>
<p class="MsoNormal"><span style="color:#1f497d"><u></u> <u></u></span></p>
<p class="MsoNormal"><span style="color:#1f497d">I’m curious as to what others see being done in the source reduction arena.
<u></u><u></u></span></p>
<p class="MsoNormal"><span style="color:#1f497d"><u></u> <u></u></span></p>
<p class="MsoNormal"><span style="color:#1f497d">Very truly yours,<u></u><u></u></span></p>
<p class="MsoNormal"><span style="font-family:"Brush Script MT";color:#1f497d"><u></u> <u></u></span></p>
<p class="MsoNormal"><span style="color:#1f497d">Catherine Zimmer, MS, BSMT<u></u><u></u></span></p>
<p class="MsoNormal"><span style="color:#1f497d">Executive director, </span><a href="http://www.hearrtmidwest.wildapricot.org/" target="_blank"><span style="color:blue">HEARRT Midwest</span></a><span style="color:#1f497d"><u></u><u></u></span></p>
<p class="MsoNormal"><span style="color:#1f497d">Principal, <u>Zimmer Environmental Improvement<u></u><u></u></u></span></p>
<p class="MsoNormal"><span style="font-size:12.0pt;font-family:Pristina;color:#1f497d">Improving processes, minimizing and managing waste and, reducing costs.
<u></u><u></u></span></p>
<p class="MsoNormal"><span style="color:#1f497d">T: <a href="tel:(651)%20645-7509" value="+16516457509" target="_blank">651.645.7509</a><u></u><u></u></span></p>
<p class="MsoNormal"><a href="mailto:zenllc@usfamily.net" target="_blank"><span style="color:blue">zenllc@usfamily.net</span></a><span style="color:#1f497d"><u></u><u></u></span></p>
<p class="MsoNormal"><span style="color:#1f497d"><u></u> <u></u></span></p>
<p class="MsoNormal"><span style="color:#1f497d"><u></u> <u></u></span></p>
<p class="MsoNormal"><span style="color:#1f497d"><u></u> <u></u></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 [</span><a href="mailto:pharmwaste-bounces@lists.dep.state.fl.us" target="_blank"><span style="font-size:10.0pt;font-family:"Tahoma",sans-serif">mailto:pharmwaste-bounces@<wbr>lists.dep.state.fl.us</span></a><span style="font-size:10.0pt;font-family:"Tahoma",sans-serif">]
<b>On Behalf Of </b>Scarborough, Jill R.<br>
<b>Sent:</b> Friday, October 27, 2017 12:56 PM<br>
<b>To:</b> </span><a href="mailto:pharmwaste@lists.dep.state.fl.us" target="_blank"><span style="font-size:10.0pt;font-family:"Tahoma",sans-serif">pharmwaste@lists.dep.state.fl.<wbr>us</span></a><span style="font-size:10.0pt;font-family:"Tahoma",sans-serif"><br>
<b>Subject:</b> [Pharmwaste] Pharmwaste Listserv concerns<u></u><u></u></span></p>
</div>
</div>
<p class="MsoNormal"><u></u> <u></u></p>
<p class="m_7969097500569133809MsoPlainText">Hi Everyone,<u></u><u></u></p>
<p class="m_7969097500569133809MsoPlainText"><u></u> <u></u></p>
<p class="m_7969097500569133809MsoPlainText">I understand there are some concerns regarding the pharmwaste listserv.<u></u><u></u></p>
<p class="m_7969097500569133809MsoPlainText"><u></u> <u></u></p>
<p class="m_7969097500569133809MsoPlainText">Here's some details about how the listserv is managed/administered.
<u></u><u></u></p>
<ul style="margin-top:0in" type="disc">
<ul style="margin-top:0in" type="circle">
<li class="MsoNormal">I do not approve or disapprove new members. I do not get notifications about new members or about existing members changing their preferences (for example if they unsubscribe or change to getting
a "daily digest").<u></u><u></u></li><li class="MsoNormal">I do not approve or disapprove of messages.<u></u><u></u></li><li class="MsoNormal">Some of you may have issues with creating "bounces" and getting an automated email (that I am not notified of) saying that your membership has been disabled. My understanding is that this is an issue with
attachments, links, and other things (policies enacted by your company/IT group) that cause mail servers to kick out an email.<u></u><u></u></li></ul>
</ul>
<p class="m_7969097500569133809MsoPlainText"><u></u> <u></u></p>
<p class="m_7969097500569133809MsoPlainText">The Mailing List Manager that is used by Florida DEP is “Mailman.” It is a free software and, according to Florida DEP’s Mailing List information page, we are using version 2.1.15. According to the software’s website, they have two
current versions: 2.1.25 and 3.1. To my knowledge, there is no plan to update the version that Florida DEP is using.<u></u><u></u></p>
<p class="m_7969097500569133809MsoPlainText"><u></u> <u></u></p>
<p class="m_7969097500569133809MsoPlainText">I have heard from a few members that advertisements and self-promotional items are a nuisance and are at odds with the purpose of the listserv. This listserv was initially developed, in 2005, to provide an electronic location for a
national dialogue on the emerging issue of pharmaceuticals and personal care products (PPCPs) in the environment. There has been a steady decrease in activity, participation, and general discussion. This is not to say that pharmaceuticals and personal care
products are no longer an environmental concern but rather that the need for this listserv may be waning.<u></u><u></u></p>
<p class="m_7969097500569133809MsoPlainText"><u></u> <u></u></p>
<p class="m_7969097500569133809MsoPlainText">At the moment, there is no easy answer for how to address the issues that have cropped up. I welcome your solutions and would like to hear from you. Please note, the likelihood of Florida DEP buying/paying for newer software is low
(based on the current utilization rate we have for this listserv). It has been suggested to me that I try to find someone else (perhaps another agency) to host and manage the listserv. I do not think that Florida DEP would allow a someone who is not a Florida
DEP employee to be the administrator of the listserv in its current location.<u></u><u></u></p>
<p class="m_7969097500569133809MsoPlainText"><u></u> <u></u></p>
<p class="m_7969097500569133809MsoPlainText">Again, I’d like to hear solutions if you have them.<u></u><u></u></p>
<p class="m_7969097500569133809MsoPlainText"><u></u> <u></u></p>
<p class="m_7969097500569133809MsoPlainText">Thank you,<u></u><u></u></p>
<p class="m_7969097500569133809MsoPlainText"><br>
Jill Scarborough<u></u><u></u></p>
<p class="MsoNormal"><u></u> <u></u></p>
<p class="MsoNormal"><b><span style="font-family:"Arial",sans-serif;color:#009999">Jill R. Scarborough<u></u><u></u></span></b></p>
<p class="MsoNormal"><b><span style="font-family:"Arial",sans-serif;color:#009999">Environmental Consultant<u></u><u></u></span></b></p>
<p class="MsoNormal"><b><span style="font-family:"Arial",sans-serif;color:#009999">Division of Waste Management<u></u><u></u></span></b></p>
<p class="MsoNormal"><b><span style="font-family:"Arial",sans-serif;color:#009999">Florida Department of Environmental Protection<u></u><u></u></span></b></p>
<p class="MsoNormal"><b><span style="font-family:"Arial",sans-serif;color:#009999"><a href="tel:(850)%20245-8782" value="+18502458782" target="_blank">850-245-8782</a><u></u><u></u></span></b></p>
<p class="MsoNormal"><u></u> <u></u></p>
<p class="m_7969097500569133809MsoPlainText"><u></u> <u></u></p>
</div>
</div>
<br><br>---------- Forwarded message ----------<br>From: "Jaramillo, Jeanie" <<a href="mailto:Jeanie.Jaramillo@ttuhsc.edu">Jeanie.Jaramillo@ttuhsc.edu</a>><br>To: "<a href="mailto:pharmwaste@lists.dep.state.fl.us">pharmwaste@lists.dep.state.fl.us</a>" <<a href="mailto:pharmwaste@lists.dep.state.fl.us">pharmwaste@lists.dep.state.fl.us</a>><br>Cc: <br>Bcc: <br>Date: Wed, 1 Nov 2017 01:26:57 +0000<br>Subject: [Pharmwaste] Need info on statewide programs<br>
<div lang="EN-US" link="#0563C1" vlink="#954F72">
<div class="m_-8108267401903686502WordSection1">
<p class="MsoNormal">Hello All, <u></u><u></u></p>
<p class="MsoNormal"><u></u> <u></u></p>
<p class="MsoNormal">I have the opportunity to discuss the potential for a statewide medication take back initiative in Texas with one of our House Representatives. I recently read about the program in North Carolina. Do any of you have information on statewide,
or even regional, programs that might be useful to me in this setting?<u></u><u></u></p>
<p class="MsoNormal"><u></u> <u></u></p>
<p class="MsoNormal"><i>Dr. Jeanie Jaramillo-Stametz<u></u><u></u></i></p>
<p class="MsoNormal"><i>Managing Director, Texas Panhandle Poison Center<u></u><u></u></i></p>
<p class="MsoNormal"><i>Asst. Professor, Pharmacy Practice<u></u><u></u></i></p>
<p class="MsoNormal"><i>Director, Medication Cleanout<u></u><u></u></i></p>
<p class="MsoNormal"><i>Texas Tech University Health Sciences Center<u></u><u></u></i></p>
<p class="MsoNormal"><i>School of Pharmacy<u></u><u></u></i></p>
<p class="MsoNormal"><i><a href="mailto:jeanie.jaramillo@ttuhsc.edu" target="_blank">jeanie.jaramillo@ttuhsc.edu</a><u></u><u></u></i></p>
<p class="MsoNormal"><i>Office: <a href="tel:(806)%20414-9402" value="+18064149402" target="_blank">(806) 414-9402</a><u></u><u></u></i></p>
<p class="MsoNormal"><i>Voice mail: <a href="tel:(806)%20414-9299" value="+18064149299" target="_blank">(806) 414-9299</a><u></u><u></u></i></p>
<p class="MsoNormal"><i>Mobile: <a href="tel:(806)%20376-0039" value="+18063760039" target="_blank">(806) 376-0039</a><u></u><u></u></i></p>
<p class="MsoNormal"><a href="http://http/www.tandfonline.com/doi/full/10.1080/14659891.2017.1337821" target="_blank"><i><span style="text-decoration:none"><img border="0" width="468" height="60" id="m_-8108267401903686502Picture_x0020_1" src="cid:image001.gif@01D35286.96A92880" alt="ijsu"></span></i></a><i><span style="color:#0563c1"><u></u><u></u></span></i></p>
<p class="MsoNormal"><i><a href="http://www.tandfonline.com/doi/full/10.1080/14659891.2017.1337821" target="_blank">www.tandfonline.com/doi/full/<wbr>10.1080/14659891.2017.1337821</a><u></u><u></u></i></p>
<p class="MsoNormal"><i><u></u> <u></u></i></p>
<p class="MsoNormal"><u></u> <u></u></p>
</div>
</div>
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FOR PROBLEMS: Contact List Administrator <a href="mailto:Jill.R.Scarborough@dep.state.fl.us">Jill.R.Scarborough@dep.state.<wbr>fl.us</a><br>
SEND MAIL to the list server at: <a href="mailto:pharmwaste@lists.dep.state.fl.us">pharmwaste@lists.dep.state.fl.<wbr>us</a><br></blockquote></div><br><br clear="all"><div><br></div>-- <br><div class="gmail_signature" data-smartmail="gmail_signature"><div dir="ltr"><div><div dir="ltr"><div><div dir="ltr"><div><div dir="ltr"><div><div dir="ltr"><div><div dir="ltr"><div><div dir="ltr"><div dir="ltr"><div dir="ltr"><div dir="ltr"><div dir="ltr"><div dir="ltr"><div dir="ltr"><font color="#1e487c" face="trebuchet ms, sans-serif" size="4"><span style="white-space:pre-wrap"><b>Greg Fabisiak</b></span></font><div><font size="2" face="trebuchet ms, sans-serif"><span style="white-space:pre-wrap"><b>Environmental Integration Coordinator</b></span></font></div><div><div><div><div><img src="https://drive.google.com/uc?export=download&id=0B8gdupL6hOgVSTFybVhhcWVWRHM" width="200" height="60" style="font-size:12.8px"><br></div></div><div><font size="2" face="trebuchet ms, sans-serif"><span style="white-space:pre-wrap;color:rgb(68,68,68)">P 303.692.2903 | F 303.753.6809</span><br></font></div></div><div><font color="#444444" size="2" face="trebuchet ms, sans-serif"><span style="white-space:pre-wrap">4300 Cherry Creek Drive South, DEHS-A2</span><br></font></div></div><div><font color="#444444" size="2" face="trebuchet ms, sans-serif"><span style="white-space:pre-wrap">Denver, CO 80246-1530</span></font></div><div><font size="2" color="#444444" face="trebuchet ms, sans-serif"><a href="mailto:greg.fabisiak@state.co.us" style="white-space:pre-wrap" target="_blank">greg.fabisiak@state.co.us</a> | <a href="http://www.colorado.gov/cdphe/dehs" target="_blank">www.colorado.gov/cdphe/dehs</a></font></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div>
</div></div>