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<td><center><strong><span style="color: #ff0000;">EXTERNAL MESSAGE</span><br></strong>This email originated outside of DEP. Please use caution when opening attachments, clicking links, or responding to this email.</center></td>
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<span style="margin:0px;font-family:blinkmacsystemfont, -apple-system, "Segoe UI", Roboto, Oxygen, Ubuntu, Cantarell, "Fira Sans", "Droid Sans", "Helvetica Neue", Helvetica, Arial, sans-serif;background-color:rgb(255, 255, 0);display:inline !important"><span style="background-color:rgb(255, 255, 0);display:inline !important"><span style="font-family:"Segoe UI", "Segoe UI Web (West European)", "Segoe UI", -apple-system, BlinkMacSystemFont, Roboto, "Helvetica Neue", sans-serif;font-size:14px;background-color:rgb(255, 255, 255);display:inline !important">Prescription
disposal practices: A 2-year ecological study of drug drop box donations in Appalachia - University of Miami</span><br>
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<li><span><span style="margin:0px;font-family:blinkmacsystemfont, -apple-system, "Segoe UI", Roboto, Oxygen, Ubuntu, Cantarell, "Fira Sans", "Droid Sans", "Helvetica Neue", Helvetica, Arial, sans-serif;background-color:rgb(255, 255, 0);display:inline !important"><span style="background-color:rgb(255, 255, 0);display:inline !important">Region
with high prescription abuse</span></span></span></li><li><span style="background-color: rgb(255, 255, 0);">4.9%</span><span style="color: rgb(0, 0, 0); font-size: 12pt; font-family: blinkmacsystemfont, -apple-system, "Segoe UI", Roboto, Oxygen, Ubuntu, Cantarell, "Fira Sans", "Droid Sans", "Helvetica Neue", Helvetica, Arial, sans-serif; background-color: rgb(255, 255, 0);"> </span><span style="color: rgb(0, 0, 0); font-size: 12pt; font-family: blinkmacsystemfont, -apple-system, "Segoe UI", Roboto, Oxygen, Ubuntu, Cantarell, "Fira Sans", "Droid Sans", "Helvetica Neue", Helvetica, Arial, sans-serif; background-color: rgb(255, 255, 0);">w</span><span style="color: rgb(0, 0, 0); font-size: 12pt; font-family: blinkmacsystemfont, -apple-system, "Segoe UI", Roboto, Oxygen, Ubuntu, Cantarell, "Fira Sans", "Droid Sans", "Helvetica Neue", Helvetica, Arial, sans-serif; background-color: rgb(255, 255, 0);">ere </span><span style="color: rgb(0, 0, 0); font-size: 12pt; font-family: blinkmacsystemfont, -apple-system, "Segoe UI", Roboto, Oxygen, Ubuntu, Cantarell, "Fira Sans", "Droid Sans", "Helvetica Neue", Helvetica, Arial, sans-serif; background-color: rgb(255, 255, 0);">controlled
substances</span></li><li><span style="background-color: rgb(255, 255, 0);">Mean-controlled substance donation rate was 1.39 #/ 1000 residents.</span></li><li><span style="background-color: rgb(255, 255, 0);">Median of 34 months lapsed from dispensing to donation</span><span style="background-color: rgb(255, 255, 0);"> </span></li></ul>
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<div><b style="font-size:14px">Conclusions.</b><span style="font-size:14px;background-color:rgb(255, 255, 255);display:inline !important"><span> </span>Permanent drug donation boxes can be an effective mechanism to remove controlled substances from community
settings. Rural and urban community residents should be provided convenient and timely access to drug disposal options.<br>
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<div><a href="https://scholarship.miami.edu/esploro/outputs/journalArticle/Prescription-disposal-practices-A-2-year-ecological/991031658193502976"><b>https://scholarship.miami.edu/esploro/outputs/journalArticle/Prescription-disposal-practices-A-2-year-ecological/991031658193502976</b></a><br>
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<b>Objectives.</b> We quantified controlled substance donations via permanent drug donation boxes over 2 years in a region with high prescription abuse, assessing medication characteristics, time between dispensing and donation, and weight of medications donated
per capita.
<div><b>Methods.</b> In partnership with Drug Enforcement Administration and local law enforcement, we analyzed permanent drug donation box collections in 8 Northeast Tennessee locations from June 2012 to April 2014. We recorded controlled substance dosage
units along with the product dispensing date. <b>Results.</b> We collected 4841 pounds of pharmaceutical waste, 4.9% (238.5 pounds) of which were controlled substances, totaling 106,464 controlled substance doses. Analysis of dispensing dates for controlled
substances indicated a median of 34 months lapsed from dispensing to donation (range = 1-484 months). The mean-controlled substance donation rate was 1.39 pounds per 1000 residents. Communities with fewer than 10,000 residents had a statistically higher controlled
substance donation rate (P = .002) compared with communities with 10,000 or more residents.
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<b>Conclusions.</b> Permanent drug donation boxes can be an effective mechanism to remove controlled substances from community settings. Rural and urban community residents should be provided convenient and timely access to drug disposal options.
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