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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='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'>Hi Christine and all,<o:p></o:p></span></p><p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'><o:p> </o:p></span></p><p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'>Christine, I couldn’t agree more. There is no longer anyone taking the reins on source reduction of pharmaceuticals. Steven Gressitt and I were trying to work that angle, but unfortunately Steven died and I am a consultant in private practice. While I’ve tried to find grants to pursue this type of work, there really aren’t any that are viable. As you know, grants take a lot of administrative effort and must be fairly large to be economically viable. <o:p></o:p></span></p><p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'><o:p> </o:p></span></p><p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'>In 2012 the Center for Medicaid Services (CMS) enacted legislation that would allow trial doses of rx without requiring a copay (I think it was), but that has not been widely enacted. I also did work on vouchers rather than samples. The other point of course is we are a drug oriented society and most people demand a pill rather than other options to address ailments. Lastly, in addition, we really need MD to push the change to less drugs and better health. <o:p></o:p></span></p><p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'><o:p> </o:p></span></p><p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'><o:p> </o:p></span></p><p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'> Very truly yours,<o:p></o:p></span></p><p class=MsoNormal><span style='font-size:11.0pt;font-family:"Brush Script MT";color:#1F497D'><o:p> </o:p></span></p><p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'>Catherine Zimmer, MS, BSMT<o:p></o:p></span></p><p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'>Executive director, <u><a href="http://www.hearrtmidwest.wildapricot.org/"><span style='color:blue'>HEARRT Midwest</span></a></u><o:p></o:p></span></p><p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'>Principal, <u>Zimmer Environmental Improvement<o:p></o:p></u></span></p><p class=MsoNormal><span style='font-family:Pristina;color:#1F497D'>Improving processes, minimizing and managing waste and, reducing costs. <o:p></o:p></span></p><p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'>T: 651.645.7509<o:p></o:p></span></p><p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'><a href="mailto:zenllc@usfamily.net"><span style='color:blue'>zenllc@usfamily.net</span></a><o:p></o:p></span></p><p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'><o:p> </o:p></span></p><p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'><o:p> </o:p></span></p><p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'><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 [mailto:pharmwaste-bounces@lists.dep.state.fl.us] <b>On Behalf Of </b>Miller, Christine M.<br><b>Sent:</b> Friday, January 4, 2019 9:57 AM<br><b>To:</b> Ed Gottlieb; pharmwaste@lists.dep.state.fl.us<br><b>Subject:</b> Re: [Pharmwaste] Wisconsin has another take-back record<o:p></o:p></span></p></div></div><p class=MsoNormal><o:p> </o:p></p><p class=MsoNormal><span style='font-size:10.0pt;font-family:"Century Gothic","sans-serif"'>Not sure if I’m happy about this news??? A double edge sword once again in the world of waste. <o:p></o:p></span></p><p class=MsoNormal><span style='font-size:10.0pt;font-family:"Century Gothic","sans-serif"'><o:p> </o:p></span></p><p class=MsoNormal><span style='font-size:10.0pt;font-family:"Century Gothic","sans-serif"'>On one hand people in WI are doing the right thing and dropping meds at collection boxes vs. flushing, but I’m sad that we are the #1 Wasters of pharmaceuticals! I doubt waste reduction will ever be the topic of concern when it comes to medications, safety will always take top bill. <o:p></o:p></span></p><p class=MsoNormal><span style='font-size:10.0pt;font-family:"Century Gothic","sans-serif"'><o:p> </o:p></span></p><p class=MsoNormal><span style='font-size:10.0pt;font-family:"Century Gothic","sans-serif"'>At lease our water is staying cleaner</span><span style='font-size:10.0pt;font-family:Wingdings'>J</span><span style='font-size:10.0pt;font-family:"Century Gothic","sans-serif"'> <o:p></o:p></span></p><p class=MsoNormal><span style='font-size:10.0pt;font-family:"Century Gothic","sans-serif"'><o:p> </o:p></span></p><div><p class=MsoNormal><span style='font-size:10.0pt;font-family:"Century Gothic","sans-serif";color:#222A35'>Christine Miller<o:p></o:p></span></p><p class=MsoNormal><span style='font-size:10.0pt;font-family:"Century Gothic","sans-serif";color:#222A35'>Recycling Coordinator</span><i><span style='font-size:10.0pt;font-family:"Century Gothic","sans-serif";color:#222A35'><o:p></o:p></span></i></p><p class=MsoNormal><span style='font-size:10.0pt;font-family:"Century Gothic","sans-serif";color:#222A35'>Outagamie County Recycling & Solid Waste</span><span style='font-size:10.0pt;font-family:"Century Gothic","sans-serif";color:#222A35'><o:p></o:p></span></p><p class=MsoNormal style='margin-bottom:12.0pt'><span style='font-size:10.0pt;font-family:"Century Gothic","sans-serif";color:#222A35'>1419 Holland Rd Appleton, WI 54911</span><span style='font-size:10.0pt;font-family:"Century Gothic","sans-serif";color:#222A35'><br>920.968.5721</span><span style='font-size:9.0pt;font-family:"Century Gothic","sans-serif";color:#0F243E'><br></span><span style='font-size:5.0pt;font-family:"Century Gothic","sans-serif";color:#336600'><br></span><span style='font-size:10.0pt;font-family:"Gotham Medium";color:#00AEEF'>Follow us on <b><a href="https://www.facebook.com/OutagamieCountyRecycling/"><span style='color:#00AEEF'>FACEBOOK</span></a></b></span><b><span style='font-size:10.0pt;font-family:"Gotham Medium";color:#336600'> </span></b><span style='font-size:10.0pt;font-family:"Gotham Medium";color:#50B948'>Visit our<b> <a href="http://www.recyclemoreoutagamie.org/"><span style='color:#50B948'>WEBSITE</span></a> </b></span><b><span style='font-size:10.0pt;font-family:"Gotham Medium";color:#336600'><br></span></b><span style='font-size:10.0pt;font-family:"Gotham Medium";color:#C45911'>Download our<b> <a href="https://play.google.com/store/apps/details?id=net.recollect.outagamiecountywi.waste"><span style='color:#C45911'>MOBILE APP</span></a><br></b></span><b><span style='font-size:10.0pt;font-family:"Gotham Medium";color:#C45911'><img border=0 width=45 height=30 id="Picture_x0020_1" src="cid:image001.jpg@01D4A416.E5AEC920" alt=OCRSW-Logo-Icon-compressed></span></b><span style='font-size:11.0pt;font-family:"Calibri","sans-serif"'><o:p></o:p></span></p></div><p class=MsoNormal><span style='font-size:10.0pt;font-family:"Century Gothic","sans-serif"'><o:p> </o:p></span></p><div><div style='border:none;border-top:solid #E1E1E1 1.0pt;padding:3.0pt 0in 0in 0in'><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> Friday, January 04, 2019 8:20 AM<br><b>To:</b> pharmwaste@lists.dep.state.fl.us<br><b>Subject:</b> [Pharmwaste] Wisconsin has another take-back record<o:p></o:p></span></p></div></div><p class=MsoNormal><o:p> </o:p></p><div><div><p><span style='font-size:10.0pt;font-family:"Tahoma","sans-serif";color:black'>Way to go Wisconsin!<o:p></o:p></span></p><p><span style='font-size:10.0pt;font-family:"Tahoma","sans-serif";color:black'> <o:p></o:p></span></p><p><span style='font-size:10.0pt;font-family:"Tahoma","sans-serif";color:black'>"</span><span style='font-size:10.0pt;font-family:"Helvetica","sans-serif";color:#4A4A4A;background:white'>Wisconsin collected a record-breaking 68,016 pounds of unused medications at drug disposal boxes and October Take Back events in 2018.</span><span style='font-size:10.0pt;font-family:"Tahoma","sans-serif";color:black'><o:p></o:p></span></p><p><span style='font-size:10.0pt;font-family:"Tahoma","sans-serif";color:black'> <o:p></o:p></span></p><p style='margin-bottom:12.0pt;ORPHANS: 2;WIDOWS: 2;font-variant-ligatures: normal;font-variant-caps: normal;-webkit-text-stroke-width: 0px;text-decoration-style: initial;text-decoration-color: initial;text-rendering: optimizeLegibility;word-spacing:0px'><span style='font-size:10.0pt;font-family:"Helvetica","sans-serif";color:#4A4A4A;background:white'>The state collected more unused medications than 48 other states, and only falling in second place to California.</span><span style='font-size:10.5pt;font-family:"Helvetica","sans-serif";color:#4A4A4A;background:white'><o:p></o:p></span></p><p style='margin-bottom:12.0pt;ORPHANS: 2;WIDOWS: 2;font-variant-ligatures: normal;font-variant-caps: normal;-webkit-text-stroke-width: 0px;text-decoration-style: initial;text-decoration-color: initial;text-rendering: optimizeLegibility;word-spacing:0px'><span style='font-size:10.0pt;font-family:"Helvetica","sans-serif";color:#4A4A4A;background:white'>Since 2015, Wisconsin has consistently been in the top three in the country, collecting and disposing of 469,785 lbs. of unused and unwanted medications."</span><span style='font-size:10.5pt;font-family:"Helvetica","sans-serif";color:#4A4A4A;background:white'><o:p></o:p></span></p><p><span style='font-size:10.0pt;font-family:"Tahoma","sans-serif";color:black'><a href="https://www.wearegreenbay.com/news/local-news/drug-take-back-program-record-announced-in-midst-of-nation-award/1685259881">https://www.wearegreenbay.com/news/local-news/drug-take-back-program-record-announced-in-midst-of-nation-award/1685259881</a><o:p></o:p></span></p><p><span style='font-size:10.0pt;font-family:"Tahoma","sans-serif";color:black'> <o:p></o:p></span></p><div><div><div><div><p class=MsoNormal><span style='font-size:10.0pt;font-family:"Tahoma","sans-serif";color:black'>Ed Gottlieb <br>Chair, Tompkins County Coalition for Safe Medication Disposal<br>Industrial Pretreatment Coordinator<br>Ithaca Area Wastewater Treatment Facility<br>525 3<sup>rd</sup> Street<br>Ithaca, NY 14850<br></span><span style='font-size:10.0pt;font-family:"Tahoma","sans-serif";color:blue'><a href="tel:(607)%20273-8381" target="_blank">(607) 273-8381</a></span><span style='font-family:"Tahoma","sans-serif";color:black'><o:p></o:p></span></p></div><div><p class=MsoNormal><span style='font-family:"Tahoma","sans-serif";color:black'> <o:p></o:p></span></p></div></div></div></div></div></div></div></body></html>