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<p class="MsoNormal"><span style="font-size:11.0pt;font-family:"Calibri Light",sans-serif;color:#403152">Reducing medication confusion is the other reason I generally present. That’s the primary reason Australia set up their collection system well before any
opioid crisis. <o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:11.0pt;font-family:"Calibri Light",sans-serif;color:#403152"><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 <pharmwaste-bounces@lists.dep.state.fl.us>
<b>On Behalf Of </b>Ed Gottlieb<br>
<b>Sent:</b> Wednesday, May 01, 2019 2:58 PM<br>
<b>To:</b> pharmwaste@lists.dep.state.fl.us<br>
<b>Subject:</b> [Pharmwaste] The least mentioned benifit of take back<o:p></o:p></span></p>
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<p class="MsoNormal"><o:p> </o:p></p>
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<p><span style="font-size:10.0pt;font-family:"Tahoma",sans-serif;color:black">The fight against the opioid epidemic is
<strong><u><span style="font-family:"Tahoma",sans-serif">always</span></u></strong><strong><span style="font-family:"Tahoma",sans-serif">
</span></strong>cited when take back is discussed.<o:p></o:p></span></p>
<p><span style="font-size:10.0pt;font-family:"Tahoma",sans-serif;color:black">Environmental contamination is
<strong><u><span style="font-family:"Tahoma",sans-serif">often</span></u></strong> highlighted when take back is discussed.<o:p></o:p></span></p>
<p><span style="font-size:10.0pt;font-family:"Tahoma",sans-serif;color:black">Poisonings are only
<strong><u><span style="font-family:"Tahoma",sans-serif">occasionally</span></u></strong><strong><span style="font-family:"Tahoma",sans-serif">
</span></strong>mentioned when discussing take back.<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">STAT reported on a disturbing new study that should inspire more of us to mention reducing poisonings as an additional benefit of take back. Though the abstract did not specify what
percent of poisonings were from pharmaceuticals, other studies have shown pharmaceuticals are the most common cause.
<o:p></o:p></span></p>
<blockquote style="margin-top:5.0pt;margin-right:0in;margin-bottom:5.0pt">
<p><span style="font-size:10.0pt;font-family:"Tahoma",sans-serif;color:black">"More teenagers are poisoning themselves in suicide attempts. There was a more than twofold increase in the rate of suspected self-poisoning suicide cases between 2011 and 2018,
according to a <a href="https://gcc01.safelinks.protection.outlook.com/?url=https%3A%2F%2Fstatnews.us11.list-manage.com%2Ftrack%2Fclick%3Fu%3Df8609630ae206654824f897b6%26id%3Db1fb78a686%26e%3D61b58803fc&data=02%7C01%7Cjennifer.volkman%40state.mn.us%7C3fc5fe82035047d46ba808d6ce6f6abd%7Ceb14b04624c445198f26b89c2159828c%7C0%7C0%7C636923375258127931&sdata=InfZbsqQeOfJk7HcAQyTL2ABtD8VlLEjSVZe%2BKeFJLg%3D&reserved=0" target="_blank">
<span style="color:#1FADB6;text-decoration:none">new study</span></a> that looked at more than 1.6 million such cases. Here’s what else you need to know:
<o:p></o:p></span></p>
<p style="margin-left:.5in;text-indent:-.25in;line-height:150%;mso-list:l0 level1 lfo1">
<![if !supportLists]><span style="font-size:10.0pt;line-height:150%;font-family:Wingdings;color:black"><span style="mso-list:Ignore">§<span style="font:7.0pt "Times New Roman"">
</span></span></span><![endif]><strong><span style="font-size:10.0pt;line-height:150%;font-family:"Tahoma",sans-serif;color:black">Overall trends</span></strong><span style="font-size:10.0pt;line-height:150%;font-family:"Tahoma",sans-serif;color:black">: Cases
of suicide attempts by self-poisoning doubled in those aged 10-18 between 2011 and 2018, rising from around 39,000 to more than 78,000.</span><span style="font-size:13.0pt;line-height:150%;font-family:"Georgia",serif;color:black"><o:p></o:p></span></p>
<p style="margin-left:.5in;text-indent:-.25in;line-height:150%;mso-list:l0 level1 lfo1">
<![if !supportLists]><span style="font-size:10.0pt;line-height:150%;font-family:Wingdings;color:black"><span style="mso-list:Ignore">§<span style="font:7.0pt "Times New Roman"">
</span></span></span><![endif]><strong><span style="font-size:10.0pt;line-height:150%;font-family:"Tahoma",sans-serif;color:black">Gender</span></strong><span style="font-size:10.0pt;line-height:150%;font-family:"Tahoma",sans-serif;color:black">: More girls
than boys attempted suicide by self-poisoning. The rate of intentional attempts among girls 10-18 also steadily increased from 2011-2018.</span><span style="font-size:13.0pt;line-height:150%;font-family:"Georgia",serif;color:black"><o:p></o:p></span></p>
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<strong><span style="font-size:10.0pt;font-family:"Tahoma",sans-serif">Outcomes</span></strong><span style="font-size:10.0pt;font-family:"Tahoma",sans-serif">: The number of serious outcomes — including death and hospitalizations — as a result of the poisoning
increased 235% between 2000 and 2018, and more than 1,400 children died. "<o:p></o:p></span></li></ul>
<p><span style="font-size:10.0pt;font-family:"Tahoma",sans-serif;color:black"><a href="https://gcc01.safelinks.protection.outlook.com/?url=https%3A%2F%2Fwww.jpeds.com%2Farticle%2FS0022-3476(19)30277-X%2Ffulltext%3Futm_source%3DSTAT%2BNewsletters%26utm_campaign%3D99b9312718-MR_COPY_01%26utm_medium%3Demail%26utm_term%3D0_8cab1d7961-99b9312718-149620549&data=02%7C01%7Cjennifer.volkman%40state.mn.us%7C3fc5fe82035047d46ba808d6ce6f6abd%7Ceb14b04624c445198f26b89c2159828c%7C0%7C0%7C636923375258137935&sdata=ZDLHmuZGvsB%2F2pHKl0N6B7zwhRNSWRB%2FiImYO8QeIT8%3D&reserved=0">https://www.jpeds.com/article/S0022-3476(19)30277-X/fulltext?utm_source=STAT+Newsletters&utm_campaign=99b9312718-MR_COPY_01&utm_medium=email&utm_term=0_8cab1d7961-99b9312718-149620549</a><o:p></o:p></span></p>
</blockquote>
<p><span style="font-size:10.0pt;font-family:"Tahoma",sans-serif;color:black">Ed Gottlieb<o:p></o:p></span></p>
<p><span style="font-size:10.0pt;font-family:"Tahoma",sans-serif;color:black">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><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"> <o:p></o:p></span></p>
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