safe medicine disposal for me: 2010 update, review of...

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Safe Medicine Disposal for ME: 2010 Update, Review of Current Operations, and Future Plans Presentation at the 2010 International Symposium on Safe Medicine Jennifer Crittenden, MSW, Safe Medicine Disposal for ME Program Manager, UMaine Center on Aging Roy E. McKinney, Director, Maine Drug Enforcement Agency Funded by the U.S. EPA (Grant #CH-83336001-0) and an allocation from a Fund for Healthy Maine

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Page 1: Safe Medicine Disposal for ME: 2010 Update, Review of ...benzos.une.edu/documents/2010/oct11/12_crittendenmckinney.pdf · Avg. age has dropped considerably from Phase I (avg. age

Safe

Med

icin

e D

ispo

sal f

or M

E:

2010

Upd

ate,

Rev

iew

of

Cur

rent

Ope

rati

ons,

and

F

utur

e P

lans

Pre

sent

atio

n at

the

2010

In

tern

atio

nal S

ympo

sium

on

Safe

Med

icin

e

Jenn

ifer

Cri

tten

den,

MS

W, S

afe

Med

icin

e D

ispo

sal f

or M

E P

rogr

am M

anag

er, U

Mai

ne

Cen

ter

on A

ging

Roy

E. M

cKin

ney,

Dir

ecto

r, M

aine

Dru

g E

nfor

cem

ent A

genc

y

Fund

ed b

y th

e U

.S. E

PA (

Gra

nt #

CH

-833

3600

1-0)

and

an

allo

cati

on f

rom

a F

und

for

Hea

lthy

Mai

ne

Page 2: Safe Medicine Disposal for ME: 2010 Update, Review of ...benzos.une.edu/documents/2010/oct11/12_crittendenmckinney.pdf · Avg. age has dropped considerably from Phase I (avg. age

Dis

clo

sure

Dis

clo

sure

••T

he p

rese

nter

s D

O N

OT

hav

e an

inte

rest

T

he p

rese

nter

s D

O N

OT

hav

e an

inte

rest

in

sel

ling

a te

chno

logy

, pro

gram

, pro

duct

, in

sel

ling

a te

chno

logy

, pro

gram

, pro

duct

, an

d/or

ser

vice

to C

ME

/CE

pro

fess

iona

ls.

and/

or s

ervi

ce to

CM

E/C

E p

rofe

ssio

nals

.

Page 3: Safe Medicine Disposal for ME: 2010 Update, Review of ...benzos.une.edu/documents/2010/oct11/12_crittendenmckinney.pdf · Avg. age has dropped considerably from Phase I (avg. age

Pro

gra

m O

verv

iew

Pro

gra

m O

verv

iew

��S

tate

wid

e dr

ug m

ailb

ack

prog

ram

in M

aine

S

tate

wid

e dr

ug m

ailb

ack

prog

ram

in M

aine

��

Fun

ded

by th

e U

.S. E

nviro

nmen

tal

Fun

ded

by th

e U

.S. E

nviro

nmen

tal

Pro

tect

ion

Age

ncy

(EP

A)

and

an a

lloca

tion

Pro

tect

ion

Age

ncy

(EP

A)

and

an a

lloca

tion

from

the

Fun

d fo

r a

Hea

lthy

Mai

nefr

om th

e F

und

for

a H

ealth

y M

aine

��P

hase

s I a

nd II

est

ablis

hed

a w

orki

ng

Pha

ses

I and

II e

stab

lishe

d a

wor

king

pr

otot

ype

for

stat

e an

d be

yond

pr

otot

ype

for

stat

e an

d be

yond

(c

onsi

dere

d ou

r pi

lot p

hase

s)(c

onsi

dere

d ou

r pi

lot p

hase

s)

Page 4: Safe Medicine Disposal for ME: 2010 Update, Review of ...benzos.une.edu/documents/2010/oct11/12_crittendenmckinney.pdf · Avg. age has dropped considerably from Phase I (avg. age

��P

osta

geP

osta

ge--p

aid

med

icin

e re

turn

pa

id m

edic

ine

retu

rn

enve

lope

s ar

e di

strib

uted

to

enve

lope

s ar

e di

strib

uted

to

sele

cted

pha

rmac

ies

and

sele

cted

pha

rmac

ies

and

orga

niza

tions

acr

oss

the

stat

e at

no

orga

niza

tions

acr

oss

the

stat

e at

no

cost

cost

��S

taff

mem

bers

then

giv

e th

e S

taff

mem

bers

then

giv

e th

e en

velo

pes

and

an in

stru

ctio

n en

velo

pes

and

an in

stru

ctio

n pa

cket

to in

tere

sted

par

ticip

ants

pack

et to

inte

rest

ed p

artic

ipan

ts

Pro

gra

m M

od

elP

rog

ram

Mo

del

Page 5: Safe Medicine Disposal for ME: 2010 Update, Review of ...benzos.une.edu/documents/2010/oct11/12_crittendenmckinney.pdf · Avg. age has dropped considerably from Phase I (avg. age

Pro

gra

m M

od

elP

rog

ram

Mo

del

Pro

gram

Par

ticip

ants Sec

ure

deliv

ery

to M

aine

Dru

g E

nfor

cem

ent A

genc

y

Env

elop

es re

ceiv

ed, l

ogge

d,

cata

logu

ed a

nd d

estr

oyed

un

der

MD

EA

cus

tody

Page 6: Safe Medicine Disposal for ME: 2010 Update, Review of ...benzos.une.edu/documents/2010/oct11/12_crittendenmckinney.pdf · Avg. age has dropped considerably from Phase I (avg. age

��R

epor

t iss

ued

in A

pril

2010

R

epor

t iss

ued

in A

pril

2010

��

Fin

ding

s fr

om r

esea

rch

cond

ucte

d fr

om M

ay

Fin

ding

s fr

om r

esea

rch

cond

ucte

d fr

om M

ay

2008

2008

--Dec

embe

r 20

10D

ecem

ber

2010

Pilo

t R

epo

rt Is

sued

Pilo

t R

epo

rt Is

sued

Ava

ilabl

e on

line

at

Ava

ilabl

e on

line

at

ww

w.s

afem

eddi

spos

al.c

omw

ww

.saf

emed

disp

osal

.com

Page 7: Safe Medicine Disposal for ME: 2010 Update, Review of ...benzos.une.edu/documents/2010/oct11/12_crittendenmckinney.pdf · Avg. age has dropped considerably from Phase I (avg. age

��9,

400

enve

lope

s di

strib

uted

sta

tew

ide

9,40

0 en

velo

pes

dist

ribut

ed s

tate

wid

e��

2,37

3 lb

s of

dru

gs c

olle

cted

2,37

3 lb

s of

dru

gs c

olle

cted

��E

stim

ated

Ave

rage

Who

lesa

le P

rice

Est

imat

ed A

vera

ge W

hole

sale

Pric

e (A

WP

) of

med

icin

e co

llect

ed:

(AW

P)

of m

edic

ine

colle

cted

: $5

72,7

72.3

5 $5

72,7

72.3

5 ��

2,07

4 su

rvey

s co

llect

ed a

nd a

naly

zed

2,07

4 su

rvey

s co

llect

ed a

nd a

naly

zed

��2,

777

tele

phon

e ca

lls a

nsw

ered

via

the

2,77

7 te

leph

one

calls

ans

wer

ed v

ia th

e pr

ogra

m h

elpl

ine

prog

ram

hel

plin

e

Su

mm

ary

of

Pilo

t S

um

mar

y o

f P

ilot

Acc

om

plis

hm

ents

Acc

om

plis

hm

ents

Page 8: Safe Medicine Disposal for ME: 2010 Update, Review of ...benzos.une.edu/documents/2010/oct11/12_crittendenmckinney.pdf · Avg. age has dropped considerably from Phase I (avg. age

Pilo

t P

has

es D

rug

Ret

urn

s D

ata

Pilo

t P

has

es D

rug

Ret

urn

s D

ata

��3,

926

enve

lope

s co

llect

ed

3,92

6 en

velo

pes

colle

cted

��

42%

ret

urn

rate

42%

ret

urn

rate

��2,

123

poun

ds o

f non

2,12

3 po

unds

of n

on--

cont

rolle

d dr

ugs

cont

rolle

d dr

ugs

��25

0 po

unds

of c

ontr

olle

d 25

0 po

unds

of c

ontr

olle

d dr

ugs

drug

s��

Ove

r 38

0,00

0 pi

lls c

olle

cted

Ove

r 38

0,00

0 pi

lls c

olle

cted

��86

% o

f ret

urns

are

86

% o

f ret

urns

are

pr

escr

iptio

n dr

ugs,

12%

ove

r pr

escr

iptio

n dr

ugs,

12%

ove

r th

e co

unte

rth

e co

unte

r��

31%

of r

etur

ns in

clud

ed m

ail

31%

of r

etur

ns in

clud

ed m

ail

orde

r dr

ugs

orde

r dr

ugs

Page 9: Safe Medicine Disposal for ME: 2010 Update, Review of ...benzos.une.edu/documents/2010/oct11/12_crittendenmckinney.pdf · Avg. age has dropped considerably from Phase I (avg. age
Page 10: Safe Medicine Disposal for ME: 2010 Update, Review of ...benzos.une.edu/documents/2010/oct11/12_crittendenmckinney.pdf · Avg. age has dropped considerably from Phase I (avg. age

Co

nsu

mer

Pro

file

Co

nsu

mer

Pro

file

�A

vera

ge a

ge o

f mai

lbac

k pr

ogra

m u

sers

: 59

yea

rs o

f age

�A

ge r

ange

of u

sers

/thos

e re

turn

ing

med

icin

e th

roug

h th

e m

ailb

ack:

4

year

s –

95 y

ears

of a

ge

�A

vg. a

ge h

as d

ropp

ed c

onsi

dera

bly

from

P

hase

I (a

vg. a

ge =

70)

to P

hase

II (

avg.

ag

e =

59)

.

Page 11: Safe Medicine Disposal for ME: 2010 Update, Review of ...benzos.une.edu/documents/2010/oct11/12_crittendenmckinney.pdf · Avg. age has dropped considerably from Phase I (avg. age

��20

,000

mai

lers

ava

ilabl

e th

roug

h st

atew

ide

20,0

00 m

aile

rs a

vaila

ble

thro

ugh

stat

ewid

e ne

twor

k of

par

ticip

atin

g ph

arm

acie

s an

d ne

twor

k of

par

ticip

atin

g ph

arm

acie

s an

d pa

rtne

ring

site

s (a

ppro

x. 1

50 s

ites)

part

nerin

g si

tes

(app

rox.

150

site

s)

��P

rogr

am o

pen

to in

divi

dual

s of

all

ages

Pro

gram

ope

n to

indi

vidu

als

of a

ll ag

es

��F

undi

ng in

pla

ce th

roug

h 20

11F

undi

ng in

pla

ce th

roug

h 20

11

��N

o ex

pans

ion

or n

ew s

ites

No

expa

nsio

n or

new

site

s at

this

poi

nt in

tim

eat

this

poi

nt in

tim

e

Cu

rren

t O

per

atio

ns

Cu

rren

t O

per

atio

ns

Page 12: Safe Medicine Disposal for ME: 2010 Update, Review of ...benzos.une.edu/documents/2010/oct11/12_crittendenmckinney.pdf · Avg. age has dropped considerably from Phase I (avg. age

��O

ur g

reat

est

Our

gre

ates

t ch

alle

nge

and

our

chal

leng

e an

d ou

r gr

eate

st s

ucce

ss…

.gr

eate

st s

ucce

ss…

.

��T

he s

hear

vol

ume

of

The

she

ar v

olum

e of

ou

r re

turn

s:ou

r re

turn

s:��

Cur

rent

ly h

ave

Cur

rent

ly h

ave

2,20

0lbs

rea

dy fo

r 2,

200l

bs r

eady

for

disp

osal

!di

spos

al!

Ch

alle

ng

esC

hal

len

ges

Page 13: Safe Medicine Disposal for ME: 2010 Update, Review of ...benzos.une.edu/documents/2010/oct11/12_crittendenmckinney.pdf · Avg. age has dropped considerably from Phase I (avg. age

Ch

alle

ng

esC

hal

len

ges

��F

undi

ng

Fun

ding

��

$75,

000/

yr b

udge

t$7

5,00

0/yr

bud

get

��$2

6,00

0 in

don

ated

tim

e du

ring

the

$26,

000

in d

onat

ed ti

me

durin

g th

e pi

lot p

hase

spi

lot p

hase

s

Page 14: Safe Medicine Disposal for ME: 2010 Update, Review of ...benzos.une.edu/documents/2010/oct11/12_crittendenmckinney.pdf · Avg. age has dropped considerably from Phase I (avg. age

Co

llab

ora

tio

nC

olla

bo

rati

on

��H

usso

n U

nive

rsity

Hus

son

Uni

vers

ity

S

choo

l of P

harm

acy

Sch

ool o

f Pha

rmac

y

��U

nive

rsity

of

Uni

vers

ity o

f N

ew E

ngla

nd

New

Eng

land

C

olle

ge o

f C

olle

ge o

f P

harm

acy

Pha

rmac

y

Pho

to c

redi

ts: B

ango

r D

aily

New

s

Page 15: Safe Medicine Disposal for ME: 2010 Update, Review of ...benzos.une.edu/documents/2010/oct11/12_crittendenmckinney.pdf · Avg. age has dropped considerably from Phase I (avg. age

Co

llab

ora

tio

nC

olla

bo

rati

on

��Lo

cal p

harm

acie

s Lo

cal p

harm

acie

s in

clud

ing

Mill

er D

rug

incl

udin

g M

iller

Dru

g

��D

onat

ed ti

me

by

Don

ated

tim

e by

co

mm

unity

co

mm

unity

vo

lunt

eers

volu

ntee

rs

Page 16: Safe Medicine Disposal for ME: 2010 Update, Review of ...benzos.une.edu/documents/2010/oct11/12_crittendenmckinney.pdf · Avg. age has dropped considerably from Phase I (avg. age

Fu

ture

Dir

ecti

on

sF

utu

re D

irec

tio

ns

��E

xplo

ring

fund

ing

oppo

rtun

ities

thro

ugh

Exp

lorin

g fu

ndin

g op

port

uniti

es th

roug

h pr

ivat

e pa

rtne

rshi

ps a

nd r

esea

rch

gran

tspr

ivat

e pa

rtne

rshi

ps a

nd r

esea

rch

gran

ts

��C

ontin

ue p

artn

ersh

ips

with

pha

rmac

y C

ontin

ue p

artn

ersh

ips

with

pha

rmac

y sc

hool

s, c

omm

unity

pha

rmac

ies,

sc

hool

s, c

omm

unity

pha

rmac

ies,

vo

lunt

eers

and

sup

port

take

back

eve

nts

volu

ntee

rs a

nd s

uppo

rt ta

keba

ck e

vent

s w

hen

poss

ible

whe

n po

ssib

le

��A

dditi

onal

$30

,000

in fu

ndin

g fr

om M

DE

A

Add

ition

al $

30,0

00 in

fund

ing

from

MD

EA

Page 17: Safe Medicine Disposal for ME: 2010 Update, Review of ...benzos.une.edu/documents/2010/oct11/12_crittendenmckinney.pdf · Avg. age has dropped considerably from Phase I (avg. age

LE

Per

spec

tive

LE

Per

spec

tive

��R

ates

of p

resc

riptio

n dr

ug a

buse

in th

e R

ates

of p

resc

riptio

n dr

ug a

buse

in th

e U

.S. a

re in

crea

sing

at a

larm

ing

rate

s, a

s U

.S. a

re in

crea

sing

at a

larm

ing

rate

s, a

s ar

e th

e nu

mbe

r of

acc

iden

tal p

oiso

ning

s ar

e th

e nu

mbe

r of

acc

iden

tal p

oiso

ning

s an

d ov

erdo

ses

due

to th

ese

drug

s.

and

over

dose

s du

e to

thes

e dr

ugs.

��

In th

e U

nite

d S

tate

s,In

the

Uni

ted

Sta

tes,

ther

e ar

e m

ore

ther

e ar

e m

ore

curr

ent n

oncu

rren

t non

--med

ical

use

rs o

f pre

scrip

tion

med

ical

use

rs o

f pre

scrip

tion

cont

rolle

d su

bsta

nces

than

the

num

ber

of

cont

rolle

d su

bsta

nces

than

the

num

ber

of

abus

ers

of c

ocai

ne, h

eroi

n an

d ab

user

s of

coc

aine

, her

oin

and

hallu

cino

gens

(ot

her

than

mar

ijuan

a)

hallu

cino

gens

(ot

her

than

mar

ijuan

a)

com

bine

d.

com

bine

d.

Page 18: Safe Medicine Disposal for ME: 2010 Update, Review of ...benzos.une.edu/documents/2010/oct11/12_crittendenmckinney.pdf · Avg. age has dropped considerably from Phase I (avg. age

LE

Per

spec

tive

LE

Per

spec

tive

��In

17

stat

es, d

eath

s fr

om d

rugs

In

17

stat

es, d

eath

s fr

om d

rugs

——bo

th

both

pr

escr

iptio

n an

d ill

egal

pr

escr

iptio

n an

d ill

egal

——no

w e

xcee

d no

w e

xcee

d th

ose

from

mot

or v

ehic

le a

ccid

ents

, with

th

ose

from

mot

or v

ehic

le a

ccid

ents

, with

op

iate

pai

nkill

ers

play

ing

a le

adin

g ro

le.

opia

te p

aink

iller

s pl

ayin

g a

lead

ing

role

.

Page 19: Safe Medicine Disposal for ME: 2010 Update, Review of ...benzos.une.edu/documents/2010/oct11/12_crittendenmckinney.pdf · Avg. age has dropped considerably from Phase I (avg. age

LE

Per

spec

tive

LE

Per

spec

tive

��“W

e’re

see

ing

peop

le d

espe

rate

ly a

nd

“We’

re s

eein

g pe

ople

des

pera

tely

and

ag

gres

sive

ly tr

ying

to g

et th

eir

hand

s on

ag

gres

sive

ly tr

ying

to g

et th

eir

hand

s on

th

ese

pills

,” s

aid

Jane

t T. M

ills,

the

thes

e pi

lls,”

sai

d Ja

net T

. Mill

s, th

e at

torn

ey g

ener

al in

Mai

ne. “

Hom

e at

torn

ey g

ener

al in

Mai

ne. “

Hom

e in

vasi

ons,

rob

berie

s, a

ssau

lts, h

omic

ides

, in

vasi

ons,

rob

berie

s, a

ssau

lts, h

omic

ides

, th

efts

th

efts

——al

l kin

ds o

f crim

es a

re b

eing

al

l kin

ds o

f crim

es a

re b

eing

lin

ked

to p

resc

riptio

n dr

ugs.

”lin

ked

to p

resc

riptio

n dr

ugs.

Page 20: Safe Medicine Disposal for ME: 2010 Update, Review of ...benzos.une.edu/documents/2010/oct11/12_crittendenmckinney.pdf · Avg. age has dropped considerably from Phase I (avg. age

LE

Per

spec

tive

LE

Per

spec

tive

��1

in 7

teen

s re

port

usi

ng p

ills

to g

et h

igh

in th

e 1

in 7

teen

s re

port

usi

ng p

ills

to g

et h

igh

in th

e pa

st y

ear

and

the

pres

ence

of t

hese

unu

sed

past

yea

r an

d th

e pr

esen

ce o

f the

se u

nuse

d dr

ugs

in th

e ho

useh

old

is li

kely

con

trib

utin

g to

dr

ugs

in th

e ho

useh

old

is li

kely

con

trib

utin

g to

in

crea

sing

rat

es o

f pre

scrip

tion

drug

abu

se

incr

easi

ng r

ates

of p

resc

riptio

n dr

ug a

buse

am

ong

teen

s w

ho b

elie

ve th

ey a

re s

afer

than

am

ong

teen

s w

ho b

elie

ve th

ey a

re s

afer

than

“s

tree

t” d

rugs

.“s

tree

t” d

rugs

.��

Stu

dies

sho

w th

at a

maj

ority

of a

buse

d S

tudi

es s

how

that

a m

ajor

ity o

f abu

sed

pres

crip

tion

drug

s ar

e ob

tain

ed fr

om fa

mily

and

pr

escr

iptio

n dr

ugs

are

obta

ined

from

fam

ily a

nd

frie

nds,

incl

udin

g fr

om th

e ho

me

med

icin

e fr

iend

s, in

clud

ing

from

the

hom

e m

edic

ine

cabi

net.

cabi

net.

Page 21: Safe Medicine Disposal for ME: 2010 Update, Review of ...benzos.une.edu/documents/2010/oct11/12_crittendenmckinney.pdf · Avg. age has dropped considerably from Phase I (avg. age

LE

Per

spec

tive

LE

Per

spec

tive

��T

his

initi

ativ

e ad

dres

ses

this

vita

l pub

lic s

afet

y T

his

initi

ativ

e ad

dres

ses

this

vita

l pub

lic s

afet

y an

d pu

blic

hea

lth is

sue

as m

edic

ines

that

col

lect

an

d pu

blic

hea

lth is

sue

as m

edic

ines

that

col

lect

in

hom

e ca

bine

ts a

re h

ighl

y su

scep

tible

to

in h

ome

cabi

nets

are

hig

hly

susc

eptib

le to

di

vers

ion,

mis

use,

and

abu

se.

dive

rsio

n, m

isus

e, a

nd a

buse

. ��

Initi

ativ

e w

ill p

reve

nt in

crea

sed

pill

abus

e an

d In

itiat

ive

will

pre

vent

incr

ease

d pi

ll ab

use

and

thef

t by

colle

ctin

g po

tent

ially

dan

gero

us e

xpire

d,

thef

t by

colle

ctin

g po

tent

ially

dan

gero

us e

xpire

d,

unus

ed, a

nd u

nwan

ted

pres

crip

tion

drug

s fo

r un

used

, and

unw

ante

d pr

escr

iptio

n dr

ugs

for

safe

and

lega

l des

truc

tion.

sa

fe a

nd le

gal d

estr

uctio

n.

Page 22: Safe Medicine Disposal for ME: 2010 Update, Review of ...benzos.une.edu/documents/2010/oct11/12_crittendenmckinney.pdf · Avg. age has dropped considerably from Phase I (avg. age

LE

Per

spec

tive

LE

Per

spec

tive

��“I

t rai

ses

the

awar

enes

s th

at w

e te

nd to

“I

t rai

ses

the

awar

enes

s th

at w

e te

nd to

ho

ard

thes

e dr

ugs

and

hang

ont

o th

em,”

ho

ard

thes

e dr

ugs

and

hang

ont

o th

em,”

S

teve

Bul

lock

, the

atto

rney

gen

eral

in

Ste

ve B

ullo

ck, t

he a

ttorn

ey g

ener

al in

M

onta

na s

aid.

“A

nd r

aisi

ng th

at a

war

enes

s M

onta

na s

aid.

“A

nd r

aisi

ng th

at a

war

enes

s is

one

mor

e st

ep in

dea

ling

with

the

over

all

is o

ne m

ore

step

in d

ealin

g w

ith th

e ov

eral

l pr

oble

m.”

prob

lem

.”

Page 23: Safe Medicine Disposal for ME: 2010 Update, Review of ...benzos.une.edu/documents/2010/oct11/12_crittendenmckinney.pdf · Avg. age has dropped considerably from Phase I (avg. age

Wan

t to

kn

ow

mo

re a

bo

ut

the

Wan

t to

kn

ow

mo

re a

bo

ut

the

pro

ject

?

pro

ject

?

Dai

ly o

pera

tions

:D

aily

ope

ratio

ns:

Jenn

ifer

Crit

tend

en, M

.S.W

.Je

nnife

r C

ritte

nden

, M.S

.W.

Pro

ject

Dire

ctor

Pro

ject

Dire

ctor

Fis

cal a

nd A

dmin

istr

ativ

e O

ffice

rF

isca

l and

Adm

inis

trat

ive

Offi

cer

UM

aine

Cen

ter

on A

ging

UM

aine

Cen

ter

on A

ging

jenn

ifer.

critt

ende

n@um

it.m

aine

.edu

jenn

ifer.

critt

ende

n@um

it.m

aine

.edu

Pro

ject

adm

inis

trat

ion:

Pro

ject

adm

inis

trat

ion:

Lena

rd K

aye,

D.S

.W./P

h.D

.Le

nard

Kay

e, D

.S.W

./Ph.

D.

Prin

cipa

l Inv

estig

ator

Prin

cipa

l Inv

estig

ator

Dire

ctor

and

Pro

fess

orD

irect

or a

nd P

rofe

ssor

UM

aine

Cen

ter

on A

ging

U

Mai

ne C

ente

r on

Agi

ng

len.

kaye

@um

it.m

aine

.edu

len.

kaye

@um

it.m

aine

.edu

Gen

eral

Pro

ject

Info

rmat

ion:

Gen

eral

Pro

ject

Info

rmat

ion:

Pho

ne:

1-86

6-M

E-R

X-R

ID (

1-86

6-63

7-97

43)

Em

ail:

info

@sa

fem

eddi

spos

al.c

omW

ebsi

te:

Web

site

:http

://w

ww

.saf

emed

disp

osal

.com

/