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</o:shapelayout></xml><![endif]--></head><body lang=EN-US link="#145C9E" vlink="#145C9E"><div class=WordSection1><p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri",sans-serif'>RE FDA’s medicine disposal guidance: in recent months I have noticed a small shift in FDA’s emphasis on disposal options that is an improvement towards clarifying that secure medicine take-back programs are preferred over flushing drugs, or trashing them, even for the drugs on the “flush list”. The improved, albeit still not optimal, messaging is in an infographic that lists the first question as “Do you have a drug take-back option readily available?”. Here’s the infographic in thumbnail:<br><br><o:p></o:p></span></p><p class=MsoNormal><img width=511 height=391 style='width:5.3194in;height:4.0694in' id="Picture_x0020_1" src="cid:image003.jpg@01D4F9E9.5C38CEB0"><span style='font-size:11.0pt;font-family:"Calibri",sans-serif'><o:p></o:p></span></p><p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri",sans-serif'><o:p> </o:p></span></p><p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri",sans-serif'>The infographic is linked from this central page: “Disposal of Unused Medicines: What You Should Know”:<o:p></o:p></span></p><p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri",sans-serif'><a href="https://www.fda.gov/drugs/resourcesforyou/consumers/buyingusingmedicinesafely/ensuringsafeuseofmedicine/safedisposalofmedicines/ucm186187.htm">https://www.fda.gov/drugs/resourcesforyou/consumers/buyingusingmedicinesafely/ensuringsafeuseofmedicine/safedisposalofmedicines/ucm186187.htm</a><o:p></o:p></span></p><p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri",sans-serif'><o:p> </o:p></span></p><p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri",sans-serif'>A challenge with FDA’s messaging on the website is that all 3 disposal options for consumers - take-back, flushing, trashing – are described and intermingled on web pages, often without a consistent hierarchy. Sometimes the images on the page provide a different emphasis that the text on the page.<o:p></o:p></span></p><p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri",sans-serif'>Also older guidances are still up, like on this page <a href="https://www.fda.gov/ForConsumers/ConsumerUpdates/ucm101653.htm">https://www.fda.gov/ForConsumers/ConsumerUpdates/ucm101653.htm</a> <o:p></o:p></span></p><p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri",sans-serif'>There’s also still the glaring omission that local solid waste or wastewater policies may differ from the FDA’s guidance in discouraging flushing or trashing.<o:p></o:p></span></p><p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri",sans-serif'><o:p> </o:p></span></p><div><p class=MsoNormal><i><span style='font-size:10.0pt;font-family:"Candara",sans-serif'>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'>(pronouns: she/her/hers)<o:p></o:p></span></i></p><p class=MsoNormal><b><i><span style='font-size:10.0pt;font-family:"Candara",sans-serif'>Community Environmental Health Strategies, LLC</span></i></b><b><span style='font-size:11.0pt;font-family:"Calibri",sans-serif'><o:p></o:p></span></b></p><p class=MsoNormal><i><span style='font-size:10.0pt;font-family:"Candara",sans-serif'><a href="mailto:margaret.shield@CEHstrategies.com"><span style='color:blue;border:none'><span style='border:none'>margaret.shield@CEHstrategies.com</span></span></a></span></i><span style='font-size:11.0pt;font-family:"Calibri",sans-serif'><o:p></o:p></span></p><p class=MsoNormal><i><span style='font-size:10.0pt;font-family:"Candara",sans-serif'>mobile: 206-499-5452</span></i><span style='font-size:11.0pt;font-family:"Calibri",sans-serif'><o:p></o:p></span></p><p class=MsoNormal><b><i><span style='font-size:10.0pt;font-family:"Candara",sans-serif'><a href="http://www.cehstrategies.com/"><span style='color:blue;border:none'><span style='border:none'>www.CEHstrategies.com</span></span></a> <o:p></o:p></span></i></b></p></div><p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri",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 <pharmwaste-bounces@lists.dep.state.fl.us> <b>On Behalf Of </b>Volkman, Jennifer (MPCA)<br><b>Sent:</b> Tuesday, April 23, 2019 12:48 PM<br><b>To:</b> Jones, Diane B., R.Ph. <Jones.Diane@mayo.edu>; pharmwaste@lists.dep.state.fl.us<br><b>Subject:</b> Re: [Pharmwaste] [EXTERNAL] FYI: FDA Unveils Public Education Campaign on Safe Opioid Disposal<o:p></o:p></span></p></div></div><p class=MsoNormal><o:p> </o:p></p><p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri",sans-serif;color:#1F497D'>I sent a note to the “Stakeholder engagement staff” asking for another link. I searched around on the website a bit and didn’t find it. I did find this “DCER Conversation” with the same guy pictured below that you can read here if you are interested: <a href="https://www.fda.gov/Drugs/NewsEvents/ucm464197.htm">https://www.fda.gov/Drugs/NewsEvents/ucm464197.htm</a> It appears that this was posted in 2015, so perhaps they’ve made a change on the FDA recommendations (not requirements) for proper disposal. <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'>Scanning a few areas of the website show that FDA is still advocating for sewering of a certain list of medications, so nothing has changed other than they appear to have added more of a description as to why they favor sewering certain drugs. Given the danger of fentanyl patches and actual deaths caused, I don’t see their guidance changing. They do note the existence of collection options and refer to the DEA’s search engine to locate collection sites. DEA’s search widget only include pharmacies, most likely because they must register with DEA, while law enforcement does not, so they don’t have the info to include them on a search. We are still at 2/3 law enforcement and 1/3 pharmacies hosting collection bins here in MN, so using our own search engine is better. I would imagine that several of you have your own more comprehensive search widgets yourselves. <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'>Sorry for the bum steer on the link, if I get a corrected link, I’ll forward it to the group. It is likely that this occurs tomorrow since tomorrow’s date is included in the link (?) I’m not expecting any change, but it would be good to know what they are going to do with this campaign and how widely they’ll promote it. <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 #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'> Jones, Diane B., R.Ph. <<a href="mailto:Jones.Diane@mayo.edu"><span style='border:none'><span style='border:none'>Jones.Diane@mayo.edu</span></span></a>> <br><b>Sent:</b> Tuesday, April 23, 2019 2:09 PM<br><b>To:</b> Volkman, Jennifer (MPCA) <<a href="mailto:jennifer.volkman@state.mn.us"><span style='border:none'><span style='border:none'>jennifer.volkman@state.mn.us</span></span></a>>; <a href="mailto:pharmwaste@lists.dep.state.fl.us"><span style='border:none'><span style='border:none'>pharmwaste@lists.dep.state.fl.us</span></span></a><br><b>Subject:</b> RE: [EXTERNAL] [Pharmwaste] FYI: FDA Unveils Public Education Campaign on Safe Opioid Disposal<o:p></o:p></span></p></div></div><p class=MsoNormal><o:p> </o:p></p><p class=MsoNormal><span style='font-family:"Calibri",sans-serif;color:#1F497D'>The link to register does not work- says not found.<o:p></o:p></span></p><p class=MsoNormal><span style='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 [</span><a href="mailto:pharmwaste-bounces@lists.dep.state.fl.us"><span style='font-size:10.0pt;font-family:"Tahoma",sans-serif'>mailto:pharmwaste-bounces@lists.dep.state.fl.us</span></a><span style='font-size:10.0pt;font-family:"Tahoma",sans-serif'>] <b>On Behalf Of </b>Volkman, Jennifer (MPCA)<br><b>Sent:</b> Tuesday, April 23, 2019 1:53 PM<br><b>To:</b> </span><a href="mailto:pharmwaste@lists.dep.state.fl.us"><span style='font-size:10.0pt;font-family:"Tahoma",sans-serif'>pharmwaste@lists.dep.state.fl.us</span></a><span style='font-size:10.0pt;font-family:"Tahoma",sans-serif'><br><b>Subject:</b> [EXTERNAL] [Pharmwaste] FYI: FDA Unveils Public Education Campaign on Safe Opioid Disposal<o:p></o:p></span></p></div></div><p class=MsoNormal><o:p> </o:p></p><p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri Light",sans-serif;color:#1F497D'>I hope they get this right and recommend using collection programs. Has anyone on here been working with FDA on this?</span><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><blockquote style='margin-top:5.0pt;margin-bottom:5.0pt'><div><div><div><p class=xmsonormal style='margin-bottom:12.0pt'><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'> U.S. Food and Drug Administration [</span><a href="mailto:fda@info.fda.gov"><span style='font-size:11.0pt;font-family:"Calibri",sans-serif'>mailto:fda@info.fda.gov</span></a><span style='font-size:11.0pt;font-family:"Calibri",sans-serif'>] </span><o:p></o:p></p></div><div align=center><table class=MsoNormalTable border=0 cellspacing=0 cellpadding=0 style='max-width:6.25in;border-collapse:collapse;min-width:300px'><tr><td width=600 style='width:6.25in;padding:0in 0in 0in 0in'><table class=MsoNormalTable border=0 cellspacing=0 cellpadding=0 width="100%" style='width:100.0%;background:white;border-collapse:collapse'><tr><td style='padding:0in 0in 0in 0in'><table class=MsoNormalTable border=0 cellspacing=0 cellpadding=0 width="100%" style='width:100.0%;border-collapse:collapse'><tr><td style='padding:7.5pt 7.5pt 7.5pt 7.5pt'><p align=center style='text-align:center;line-height:13.5pt'><span style='font-size:7.0pt;font-family:"Arial",sans-serif;color:windowtext'>If your email program has trouble displaying this email, </span><span style='color:windowtext'><a 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cellpadding=0 width="100%" style='width:100.0%;border-collapse:collapse;display:inline-table;max-width:100%;min-width:480px'><tr><td style='padding:0in 0in 0in 0in'><table class=MsoNormalTable border=0 cellspacing=0 cellpadding=0 style='max-width:6.25in;border-collapse:collapse'><tr><td valign=top style='padding:0in 0in 0in 0in'><table class=MsoNormalTable border=0 cellspacing=0 cellpadding=0 width="100%" style='width:100.0%;border-collapse:collapse'><tr><td style='padding:0in 0in 0in 0in'><div align=center><table class=MsoNormalTable border=0 cellspacing=0 cellpadding=0 width="100%" style='width:100.0%;border-collapse:collapse'><tr><td style='padding:0in 0in 0in 0in'><p class=xmsonormal align=center style='text-align:center'><span style='color:windowtext'><img border=0 width=600 height=84 style='width:6.25in;height:.875in' id="_x0000_i1025" src="http://img04.en25.com/EloquaImages/clients/USDepartmentofHealthandHumanServicesFood/%7b978d2a57-b75d-4765-8032-6cce5cd09bae%7d_USFDA-Header-FINAL.png" alt="http://img04.en25.com/EloquaImages/clients/USDepartmentofHealthandHumanServicesFood/%7B978d2a57-b75d-4765-8032-6cce5cd09bae%7D_USFDA-Header-FINAL.png"><o:p></o:p></span></p></td></tr></table></div></td></tr></table></td></tr></table></td></tr></table></td></tr></table><p class=xmsonormal> <o:p></o:p></p><table class=MsoNormalTable border=0 cellspacing=0 cellpadding=0 style='max-width:6.25in;border-collapse:collapse;min-width:300px'><tr><td style='background:white;padding:0in 0in 0in 0in'><table class=MsoNormalTable border=0 cellspacing=0 cellpadding=0 width="100%" style='width:100.0%;border-collapse:collapse;display:inline-table;max-width:100%;min-width:480px'><tr><td style='padding:0in 0in 0in 0in'><table class=MsoNormalTable border=0 cellspacing=0 cellpadding=0 width="100%" style='width:100.0%;border-collapse:collapse'><tr><td valign=top style='padding:0in 0in 0in 0in'><table class=MsoNormalTable border=0 cellspacing=0 cellpadding=0 width="100%" style='width:100.0%;border-collapse:collapse'><tr><td style='padding:0in 7.5pt 0in 7.5pt'><div align=center><table class=MsoNormalTable border=0 cellspacing=0 cellpadding=0 width="100%" style='width:100.0%;border-collapse:collapse'><tr><td style='border:none;border-top:solid black 1.0pt;padding:.75pt .75pt .75pt .75pt'><div><p class=xmsonormal><span style='color:windowtext'> <o:p></o:p></span></p></div></td></tr></table></div></td></tr></table></td></tr></table></td></tr></table></td></tr></table><p class=xmsonormal> <o:p></o:p></p><table class=MsoNormalTable border=0 cellspacing=0 cellpadding=0 style='max-width:6.25in;border-collapse:collapse;min-width:300px'><tr><td style='background:white;padding:0in 0in 0in 0in'><table class=MsoNormalTable border=0 cellspacing=0 cellpadding=0 width="100%" style='width:100.0%;border-collapse:collapse;display:inline-table;max-width:100%;min-width:480px'><tr><td style='padding:0in 0in 0in 0in'><table class=MsoNormalTable border=0 cellspacing=0 cellpadding=0 width="100%" style='width:100.0%;border-collapse:collapse'><tr><td valign=top style='padding:0in 0in 0in 0in'><table class=MsoNormalTable border=0 cellspacing=0 cellpadding=0 width="100%" style='width:100.0%;border-collapse:collapse'><tr><td style='padding:0in 7.5pt 0in 7.5pt'><div><p class=xmsonormal align=right style='text-align:right;line-height:11.25pt'><span style='font-size:7.5pt;font-family:"Arial",sans-serif'>April 22, 2019</span><span style='color:windowtext'><o:p></o:p></span></p></div></td></tr></table></td></tr></table></td></tr></table></td></tr></table><p class=xmsonormal> <o:p></o:p></p><table class=MsoNormalTable border=0 cellspacing=0 cellpadding=0 style='max-width:6.25in;border-collapse:collapse;min-width:300px'><tr><td style='background:white;padding:0in 0in 0in 0in'><table class=MsoNormalTable border=0 cellspacing=0 cellpadding=0 width="100%" style='width:100.0%;border-collapse:collapse;display:inline-table;max-width:100%;min-width:480px'><tr><td style='padding:0in 0in 0in 0in'><table class=MsoNormalTable border=0 cellspacing=0 cellpadding=0 width="100%" style='width:100.0%;border-collapse:collapse'><tr><td valign=top style='padding:0in 0in 0in 0in'><table class=MsoNormalTable border=0 cellspacing=0 cellpadding=0 width="100%" style='width:100.0%;border-collapse:collapse'><tr><td style='padding:0in 7.5pt 3.75pt 7.5pt'><div><div><p class=xmsonormal style='line-height:13.5pt'><span style='font-size:9.0pt;font-family:"Arial",sans-serif'>Dear Colleague,</span><span style='color:windowtext'><o:p></o:p></span></p></div><div><p class=xmsonormal style='line-height:13.5pt'><span style='font-size:9.0pt;font-family:"Arial",sans-serif'> </span><span style='color:windowtext'><o:p></o:p></span></p></div><div><p class=xmsonormal style='line-height:13.5pt'><span style='font-size:9.0pt;font-family:"Arial",sans-serif'>FDA is excited to announce the upcoming launch of a new public education campaign to encourage safe disposal of unused opioid pain medicines. Please join us on Wednesday, April 24th at 12:00 p.m. (EDT) to hear about this important new effort and learn what you can do to reduce the chance of accidental or intentional prescription opioid misuse among your constituents, neighbors, friends, and loved ones.</span><span style='color:windowtext'><o:p></o:p></span></p></div><div><p class=xmsonormal style='line-height:13.5pt'><span style='font-size:9.0pt;font-family:"Arial",sans-serif'> </span><span style='color:windowtext'><o:p></o:p></span></p></div><div><p class=xmsonormal style='line-height:13.5pt'><strong><span style='font-size:9.0pt;font-family:"Arial",sans-serif'>To view webinar:</span></strong><span style='font-size:9.0pt;font-family:"Arial",sans-serif'> </span><span style='color:windowtext'><a href="https://gcc01.safelinks.protection.outlook.com/?url=http%3A%2F%2Fs2027422842.t.en25.com%2Fe%2Fer%3Futm_campaign%3DFDA%2520Unveils%2520Public%2520Education%2520Campaign%2520on%2520Safe%2520Opioid%2520Disposal%26utm_medium%3Demail%26utm_source%3DEloqua%26s%3D2027422842%26lid%3D7520%26elqTrackId%3DD5C709DD94BCFA994EE77E600A3308B6%26elq%3De2b75d5723254708889efdaa4a7ef8fb%26elqaid%3D7703%26elqat%3D1&data=02%7C01%7Cjennifer.volkman%40state.mn.us%7Cf14e317a26ad4d10131908d6c81f1518%7Ceb14b04624c445198f26b89c2159828c%7C0%7C0%7C636916433161373796&sdata=6PT9vsWOpFHHduwdZHVV1LUqyjalp%2B5bzWF9O9QPsBc%3D&reserved=0"><span style='font-size:9.0pt;font-family:"Arial",sans-serif;text-decoration:none'>https://collaboration.fda.gov/rtr042419/event/registration.html.</span></a><o:p></o:p></span></p></div></div></td></tr></table></td></tr></table></td></tr></table></td></tr></table><p class=xmsonormal> <o:p></o:p></p><table class=MsoNormalTable border=0 cellspacing=0 cellpadding=0 style='max-width:6.25in;border-collapse:collapse;min-width:300px'><tr><td style='background:white;padding:0in 0in 0in 0in'><table class=MsoNormalTable border=0 cellspacing=0 cellpadding=0 width="100%" style='width:100.0%;border-collapse:collapse;display:inline-table;max-width:100%;min-width:360px'><tr><td style='padding:0in 0in 0in 0in'><table class=MsoNormalTable border=0 cellspacing=0 cellpadding=0 width="100%" style='width:100.0%;border-collapse:collapse'><tr><td valign=top style='padding:0in 0in 0in 0in'><table class=MsoNormalTable border=0 cellspacing=0 cellpadding=0 width="100%" style='width:100.0%;border-collapse:collapse'><tr><td style='padding:7.5pt 7.5pt 7.5pt 7.5pt'><div><div><p class=xmsonormal style='line-height:13.5pt'><strong><span style='font-size:9.0pt;font-family:"Arial",sans-serif'>Presenter Information: </span></strong><span style='color:windowtext'><o:p></o:p></span></p></div><div><p class=xmsonormal style='line-height:13.5pt'><span style='font-size:9.0pt;font-family:"Arial",sans-serif'>Douglas Throckmorton, M.D.</span><span style='color:windowtext'><o:p></o:p></span></p></div><div><p class=xmsonormal style='line-height:13.5pt'><span style='font-size:9.0pt;font-family:"Arial",sans-serif'>Deputy Center Director for Regulatory Programs</span><span style='color:windowtext'><o:p></o:p></span></p></div><div><p class=xmsonormal style='line-height:13.5pt'><span style='font-size:9.0pt;font-family:"Arial",sans-serif'>FDA Center for Drug Evaluation and Research</span><span style='color:windowtext'><o:p></o:p></span></p></div><div><p class=xmsonormal style='line-height:13.5pt'><span style='font-size:9.0pt;font-family:"Arial",sans-serif'> </span><span style='color:windowtext'><o:p></o:p></span></p></div><div><p class=xmsonormal style='line-height:13.5pt'><span style='font-size:9.0pt;font-family:"Arial",sans-serif'>As Deputy Director for Regulatory Programs, Dr. Throckmorton shares the responsibility for overseeing the regulation of research, development, manufacture, and marketing of prescription, over-the-counter, and generic drugs in the United States. He is committed to ensuring that the benefits of approved drugs outweigh their known risks.</span><span style='color:windowtext'><o:p></o:p></span></p></div></div></td></tr></table></td><td width="25%" valign=top style='width:25.0%;padding:0in 0in 0in 0in'><table class=MsoNormalTable border=0 cellspacing=0 cellpadding=0 width="100%" style='width:100.0%;border-collapse:collapse;display:inline-table;max-width:100%;min-width:120px'><tr><td style='padding:11.25pt 0in 0in 0in'><div align=center><table class=MsoNormalTable border=0 cellspacing=0 cellpadding=0 style='max-width:112.5pt;border-collapse:collapse'><tr><td style='padding:0in 0in 0in 0in'><p class=xmsonormal align=center style='text-align:center'><span style='color:windowtext'><img border=0 width=150 height=167 style='width:1.5625in;height:1.743in' id="_x0000_i1026" src="http://img04.en25.com/EloquaImages/clients/USDepartmentofHealthandHumanServicesFood/%7b0b0bb385-8be1-413b-8555-d40dad70eb1a%7d_Doug.png" alt="http://img04.en25.com/EloquaImages/clients/USDepartmentofHealthandHumanServicesFood/%7B0b0bb385-8be1-413b-8555-d40dad70eb1a%7D_Doug.png"><o:p></o:p></span></p></td></tr></table></div></td></tr></table></td></tr></table></td></tr></table></td></tr></table><p class=xmsonormal> <o:p></o:p></p><table class=MsoNormalTable border=0 cellspacing=0 cellpadding=0 style='max-width:6.25in;border-collapse:collapse;min-width:300px'><tr><td style='background:white;padding:0in 0in 0in 0in'><table class=MsoNormalTable border=0 cellspacing=0 cellpadding=0 width="100%" style='width:100.0%;border-collapse:collapse;display:inline-table;max-width:100%;min-width:480px'><tr><td style='padding:0in 0in 0in 0in'><table class=MsoNormalTable border=0 cellspacing=0 cellpadding=0 width="100%" style='width:100.0%;border-collapse:collapse'><tr><td valign=top style='padding:0in 0in 0in 0in'><table class=MsoNormalTable border=0 cellspacing=0 cellpadding=0 width="100%" style='width:100.0%;border-collapse:collapse'><tr><td style='padding:7.5pt 7.5pt 0in 7.5pt'><div><div><p class=xmsonormal style='line-height:13.5pt'><span style='font-size:9.0pt;font-family:"Arial",sans-serif'>The FDA Stakeholder Engagement Staff reside within the Office of the Commissioner and support the FDA mission by engaging with Patient and Health Professional Organizations, Consumer Groups, Trade Associations, Think Tanks and other external stakeholders. We encourage and support active engagement from external stakeholders related to policy that impacts medical products, tobacco, food safety and nutrition that promote health and healthy living. </span><span style='color:windowtext'><o:p></o:p></span></p></div></div></td></tr></table></td></tr></table></td></tr></table></td></tr></table><p class=xmsonormal> <o:p></o:p></p><table class=MsoNormalTable border=0 cellspacing=0 cellpadding=0 style='max-width:6.25in;border-collapse:collapse;min-width:300px'><tr><td style='background:white;padding:0in 0in 0in 0in;word-wrap:break-word;border-radius:2px'><table class=MsoNormalTable border=0 cellspacing=0 cellpadding=0 width="100%" style='width:100.0%;border-collapse:collapse;word-wrap:break-word;border-radius:2px'><tr><td style='padding:0in 0in 0in 0in;word-wrap:break-word;border-radius:2px'><table class=MsoNormalTable border=0 cellspacing=0 cellpadding=0 width="100%" 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href="https://gcc01.safelinks.protection.outlook.com/?url=http%3A%2F%2Fs2027422842.t.en25.com%2Fe%2Fer%3Futm_campaign%3DFDA%2520Unveils%2520Public%2520Education%2520Campaign%2520on%2520Safe%2520Opioid%2520Disposal%26utm_medium%3Demail%26utm_source%3DEloqua%26s%3D2027422842%26lid%3D7249%26elqTrackId%3D045CA8FB77F28112073F19FBCDE82070%26elq%3De2b75d5723254708889efdaa4a7ef8fb%26elqaid%3D7703%26elqat%3D1&data=02%7C01%7Cjennifer.volkman%40state.mn.us%7Cf14e317a26ad4d10131908d6c81f1518%7Ceb14b04624c445198f26b89c2159828c%7C0%7C0%7C636916433161383805&sdata=zANuesT4PpwqDCghlnw1U0VoLOlWeDiWwFahUW%2B94Is%3D&reserved=0"><strong><span style='font-size:8.5pt;font-family:"Arial",sans-serif;color:white;background:#0572CE;text-decoration:none'>Visit our webpage on FDA.GOV</span></strong></a><o:p></o:p></p></td></tr></table></div></td></tr></table></td><td width="50%" valign=top style='width:50.0%;padding:0in 0in 0in 0in;word-wrap:break-word;border-radius:2px'><table class=MsoNormalTable border=0 cellspacing=0 cellpadding=0 width="100%" style='width:100.0%;border-collapse:collapse;display:inline-table;max-width:100%;min-width:240px'><tr><td style='padding:7.5pt 7.5pt 7.5pt 7.5pt;display:inline-table;max-width:100%;min-width:240px'><div align=center><table class=MsoNormalTable border=0 cellspacing=0 cellpadding=0 width=0 style='width:0in;border-collapse:collapse;display:inline-table;max-width:100%;min-width:240px'><tr><td style='background:#0572CE;padding:3.75pt 7.5pt 3.75pt 7.5pt;display:inline-table;max-width:100%;min-width:240px'><p class=xmsonormal align=center style='text-align:center'><a href="mailto:fdastakeholderengagementteam@fda.hhs.gov" target="_blank"><strong><span style='font-size:8.5pt;font-family:"Arial",sans-serif;color:white;background:#0572CE;text-decoration:none'>Email the Stakeholder Engagement Staff</span></strong></a><o:p></o:p></p></td></tr></table></div></td></tr></table></td></tr></table></td></tr></table></td></tr></table><p class=xmsonormal> 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