EXHIBIT 99.1


                            CERTIFICATION PURSUANT TO
                               18 U.S.C. SS.1350,
                             AS ADOPTED PURSUANT TO
                  SECTION 906 OF THE SARBANES-OXLEY ACT OF 2002

         In connection with the Quarterly Report on Form 10-Q of Medical Action
Industries Inc. (the "Company") for the quarter ended September 30, 2003, as
filed with the Securities and Exchange Commission on the date hereof (the
"Report"), each of the undersigned, Paul D. Meringolo, Chief Executive Officer,
Chairman of the Board and President and Richard G. Satin, Principal Financial
Officer, Vice President of Operations and General Counsel of the Company,
certifies, to the best knowledge and belief of the signatory, pursuant to 18
U.S.C. ss.1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of
2002, that:

         (1)  The Report fully complies with the requirements of Section 13(a)
              or 15(d) of the Securities Exchange Act of 1934; and

         (2)  The information contained in the Report fairly presents, in all
              material respects, the financial condition and results of
              operations of the Company.



/s/ Paul D. Meringolo                             /s/ Richard G. Satin
- ------------------------------------              ------------------------------
Chief Executive Officer, Chairman of              Principal Financial Officer,
the Board and President                           Vice President of Operations
                                                  and General Counsel


Date: November 13, 2003                           Date: November 13, 2003
      ------------------------------                    ------------------------