Thornbury pse by rx

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Thornbury pse by rx

  1. 1. Legislative Efforts to Combat Pseudoephedrine Misuse: Kentucky’s Experience William C. Thornbury, M.D., F.A.A.F.P. Gerry Stover, Executive Director KAFP
  2. 2. ACTIVITY DISCLAIMER The material presented at this activity is being made available by Dr. William C. Thornbury, Jr and Medical Associates Clinic for educational purposesonly. This material is not intended to represent the only, nor necessarily best, method or procedure appropriate for the legislative/medical situations discussed but, rather, is intended to present an approach, view, statement or opinion of the faculty that may be helpful to others who face similar situations.Dr. Thornbury disclaims any and all liability for injury or other damages resulting to any individual attending this program and for all claims that may arise out of the use of theuse or techniques demonstrated therein by such individuals, whether these claims shall be asserted by a physician or any other person. Every effort has been made to ensure the accuracy of the data presented at these activities; however, no claim or patent is made that said information is fully accurate or reliable. Participants will need to investigate,examine and verify each statement and/or particular claim made during this presentation. Participants, and physicians, may care to check specific details using due diligence, in standard sources, prior to application. These materials have been produced solely forthe entertainment and education of attendees. Any use of content, replication of data, or key positions taken with this presentation is prohibited without written consent .
  3. 3. The Problem PSE Synthesis  Methamphetamine 2009 Rand Corp: $23.4B/yr (U.S.Gov’t)Kentucky2007 2008 2009 2010(294) (416) (736) (1100)
  4. 4. Cost KSP $32M/2010 Law Enforcement 1,100 Incidents, Up 40% from 2009(OK St Police: $350K/Incident All Factors)Net Cost KY: $385M/2010 or $8-92.00/pers/yr
  5. 5. 1. Missouri – 1285 2. Indiana – 620 3. Tennessee – 559 4. Illinois – 360 5. Arkansas – 309 6. Kentucky – 278 7. California – 273 8. Michigan – 172 9. North carolina – 155Map includes Laboratories, Chemical/Equipment/Glassware 10. Mississippi – 152seizures, and Dumpsites that have been received by the MSHP Ohio - 152for entry into NSS as of 12/31/2007
  6. 6. 2009
  7. 7. Solution I. PSE by Rx in KY II. Support Colleagues in Surrounding States Rx III. Educate Federal Support PSE Import Ban IV. Encourage Pharm Manfn Change Delivery
  8. 8. PSE by Rx Oregon Data: 98% Reduction from 20062009 Meth Lab Incidents: 47210
  9. 9. PSE by Rx Mississippi Data:65% Global Reduction July-Dec 201090% Reduction Labs: Harrison Co (22528)90% Reduction Lab: Jackson Co (53/mo5/mo)(July-December 2010, WLOX 12/28/10)
  10. 10. KAFP Resolution KAFP Exc Director, Gerry Stover KNOA President, Stanley Salyards KSP Major Joe Wilson
  11. 11. KMA Resolution Warren Co Drug Task Force/KSP Barren County KMAKMA KMA Legislative Committee
  12. 12. Legislative Effort KY Board of Pharmacy KPhA KYAAP State Legislators Federal Legislators Press KAFP Journal Article
  13. 13. Legislative AntagonistsRetail Pharmaceutical IndustryMETHCHECK (NPLEx): Electronic MonitoringKY Sherriff’s Assoc
  14. 14. PSE by Rx  KY SB-45 $350,000 Lobbying 2010 Legislative Yr “Robo-Calls” Legislative “Green Sheets” PR Campaign in Metro Areas
  15. 15. PSE by Rx  KY SB-45 $350,000 Lobbying 2010 Legislative Yr “Robo-Calls” Legislative “Green Sheets” PR Campaign in Metro Areas[Keep Doing What You’re Doing, It’s Working Fine.”]
  16. 16. PSE by Rx  KY SB-45 DEFEATED
  17. 17. Fall 2010 CVS Fine: $75M (PSE to Criminals/25 States)
  18. 18. Fall 2010 CVS Fine: $75M (PSE to Criminals/25 States) Spring 2011 AAFP 10-State in WI (Encouraged COD) Summer 2011 KY Mainstream Press Moves Storyline
  19. 19. Fall 2011---September KMA-HOD Committee Meeting  Exempt Select Isomers from Rx Policy  “Guests” Educate on PSE AAFP-COD Committee Hearing PSE by Rx  Calls for Amendment  Concerned Delegates
  20. 20. News > LocalCain: What I say is not for saleBy James Mayse, Messenger-InquirerPublished: Wednesday, February 16, 2011 12:08 AM CSTDaviess County Sheriff Keith Cain, who has been an advocate of electronic tracking system for pseudoephedrine purchases, said Tuesdayhe is compensated for his time and expenses when he travels out of state to talk about electronic tracking.Cain said he was compensated for his time and expenses three or four times last year when he traveled out of state to discuss electronic tracking.On those occasions, he was paid for time and expenses by the pharmaceutical lobbying firm that opposes making pseudoephedrine a prescription.On Tuesday, Cain traveled to Indianapolis to discuss electronic tracking before a Senate committee of the Indiana General Assembly.Cains compensation and expenses for the trip will be paid by the Consumer Healthcare Products Association -- a lobbying firmthat supports electronic tracking as an alternative to making pseudoephedrine a prescription drug. Cain said Tuesdayhis compensation depends on what is involved but varies from $500 to $1,500 per day.
  21. 21. News > LocalCain: What I say is not for saleBy James Mayse, Messenger-InquirerPublished: Wednesday, February 16, 2011 12:08 AM CSTDaviess County Sheriff Keith Cain, who has been an advocate of electronic tracking system for pseudoephedrinepurchases, said Tuesday he is compensated for his time and expenses when he travels out of state to talk about electronic tracking.Cain said he was compensated for his time and expenses three or four times last year when he traveled out of state to discuss electronic tracking.On those occasions, he was paid for time and expenses by the pharmaceutical lobbying firm that opposes making pseudoephedrine a prescription.On Tuesday, Cain traveled to Indianapolis to discuss electronic tracking before a Senate committee of the Indiana General Assembly.Cains compensation and expenses for the trip will be paidby the Consumer Healthcare Products Association -- a lobbying firmthat supports electronic tracking as an alternative to making pseudoephedrine a prescription drug. Cain said Tuesdayhis compensation depends on what is involved but varies from $500 to $1,500 per day.
  22. 22. News > LocalCain: What I say is not for saleBy James Mayse, Messenger-InquirerPublished: Wednesday, February 16, 2011 12:08 AM CSTDaviess County Sheriff Keith Cain, who has been an advocate of electronic tracking system for pseudoephedrine purchases, said Tuesdayhe is compensated for his time and expenses when he travels out of state to talk about electronic tracking.Cain said he was compensated for his time and expenses three or four times last year when he traveled out of state to discuss electronic tracking.On those occasions, he was paid for time and expenses by the pharmaceutical lobbying firm that opposes making pseudoephedrine a prescription.On Tuesday, Cain traveled to Indianapolis to discuss electronic tracking before a Senate committee of the Indiana General Assembly.Cains compensation and expenses for the trip will be paid by the Consumer Healthcare Products Association -- a lobbying firmthat supports electronic tracking as an alternative to making pseudoephedrine a prescription drug. Cain said Tuesdayhis compensation depends on what is involved but varies from $500 to $1,500 per day. Kentucky Registered Legislative Agents October 27, 2011Acquisto, James 502-xxx-xxxx Address XXX, Louisville KY 40223 Appriss
  23. 23. Myth vs Fact1. OR: PSE is on the Increase.
  24. 24. Myth vs Fact1. OR: PSE is on the Increase.From: Rob Bovett <RBoet@co.lcon.or.us>To: stanley stanley <jutstan@yahoo.com>Sent: Wednesday, October 19, 2011 4:40 PMSubject: Re: OR meth lab numbersStan,Oregon is at 7 for this year. We had 13 last year.Take care,Rob
  25. 25. Myth vs Fact2. PSE by Rx Would Increase Health Care Costs  $12 OTC ------ > $110 Rx
  26. 26. Myth vs Fact2. PSE by Rx Would Increase Health Care Costs  $12 OTC ------ > $110 Rx Move to Rx: Generic Competition More Likely: Gel Caps OTC for Cheap
  27. 27. Myth vs Fact3. Only 2% of PSE Purchases are Illicit.
  28. 28. Myth vs Fact3. Only 2% of PSE Purchases are Illicit. OK 2008 Baseline: 250K PSE tabs  6 mos into “Shake-N-Bake” Method  600K Tabs  750K Today (300%) Increase in: Meth Labs, Addicts, Deaths.
  29. 29. Myth vs Fact4. NPLEx (E-Tracking) Fixes the Problem at the Source
  30. 30. Myth vs Fact4. NPLEx (E-Tracking) Fixes the Problem at the Source  Cannot Stop “Smurfing”  Cannot Stop Fake I.D.’s  Law Enforcement Don’t Have Resources to Combat the Problem at the Point-of-Sale.
  31. 31. Myth vs Fact5. PSE by Rx Would Inconvenience Law-Abiding Citizens
  32. 32. Myth vs Fact5. PSE by Rx Would Inconvenience Law-Abiding Citizens  OR: No Consumer Mandate to Reverse Law  OR: No Physician Mandate to Reverse Law  OR: No Political Mandate to Reverse Law
  33. 33. Myth vs Fact5. PSE by Rx Would Inconvenience Law-Abiding CitizensPSE for Sx Relief……DN “Cure” any disease process.Phenylephrine, Topical Decongestants, Antihistamines OTC
  34. 34. Myth vs Fact6. PSE “Behind-the-Counter” hasn’t solved the problem; it’s a Law-Enforcement Issue.
  35. 35. Myth vs Fact6. PSE “Behind-the-Counter” hasn’t solved the problem; it’s a Law-Enforcement Issue.  Yes. (Smurfing, Fake I.D.’s, etc.)  Meth Use, Meth Labs are different issues. (Law Enforcement needs to shift resources.)  Physicians: Are we guardians of public health?
  36. 36. Myth vs Fact7. Insufficient Data: Need “Evidence-Based Policies”
  37. 37. Myth vs FactMississippi Bureau of Narcotics: 7/1/09 - 8/5/10: 1,002 labs, rescued 226 children. 7/1/10 - 8/5/10: 351 labs, rescued 53 children. A reduction of 65% in labs and 77% in children.The Mississippi Bureau of Narcotics indicates that their methods of response and investigation havenot changed since the scheduling law began. They simply do not get as many meth lab complaintssince MS requires PSE by Rx.
  38. 38. Meth Lab SeizuresOR & OK OK OR KYPSE Moved OR Schedules PSE OK Adds Meth LabBehind –the-Counter (OK E-Tracking) offender block list 1078 OK To E-tracking Driver’s License Data Combat Meth Act into E-Tracking 812 All states: 818 (to find fake DL) Behind-the-Counter 743 741 600 589 KY E-Tracking (Methcheck) 472 428 334 309 309 194 213 189 148 55 22 21 13 12 2004 2005 2006 2007 2008 2009 2010
  39. 39. Meth Lab Seizures KY 1078 Kentucky 741 600 589 428 309 3092004 2005 2006 2007 2008 2009 2010
  40. 40. Meth Lab Seizures KY 2011 Data 1458 Labs 1078 Kentucky 741 600 589 428 309 3092004 2005 2006 2007 2008 2009 2010
  41. 41.  Controlled Substance “The basis for control and regulation is the danger of addiction, abuse, physical and mental harm (including death), the trafficking by illegal means, and the dangers from actions of those who have used the substances.”
  42. 42. THANK YOU Kentucky Academy of Family Practitioners  Gerry Stover, Executive Director

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