Transcript Presentation - Product Stewardship Institute

PSI National
Dialogue on
Waste
Pharmaceuticals
Product Stewardship
Forum
June 2, 2009
Goal of the Pharmaceuticals Dialogue
• Reduce the amount of pharmaceuticals that become waste.
• Develop and implement a nationally-coordinated system for
the safe, practical, legal, and environmentally protective
management of waste pharmaceuticals.
 Focus: waste pharmaceuticals generated from households, or
as household waste (including pets).
© Product Stewardship Institute, Inc.
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Process
 Research/stakeholder interviews
 2 meetings
 4 workgroups
 Research
 Source Reduction
 Collection/disposal
 Regulations
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4
Federal Government
 U.S. Department of Transportation
 U.S. Environmental Protection Agency
 U.S. Food and Drug Administration
 U.S. Postal Service
 Office of National Drug Control Policy (observers)
 Offices of Congressmen Inslee and Moran
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Pharmaceutical Companies/Waste Industry

AstraZeneca

Capital Returns, Inc.

BD Medical

Clean Harbors, LLC

GlaxoSmithKline

Enserv West

Generic Pharmaceutical Association

EXP Pharmaceuticals

Hoffman-La Roche

Heritage Environmental Services

Johnson & Johnson

Integrated Waste Control, LLC

King Pharmaceuticals ( and Alpharma)

PharmWaste Technologies

Purdue Pharmaceuticals

Sharps Compliance, Inc.

Schering-Plough

Stericycle

Veolia Environmental Services

Waste Management
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Pharmacies/Pharmacists/Healthcare Groups

American Pharmacists
Association

National Association of Chain
Drug Stores

Avalere Health, LLC


California Retailers Association
National Community
Pharmacists Association

Healthcare Without Harm

National Association of
Consultant Pharmacists

Healthcare Distribution
Management Association

National Association of Medical
Device Reprocessors

Kaiser Permanente

PharmEcology Associates

Maryland Hospitals for a Healthy
Environment

Teleosis Institute
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Water, Environment & Public Health

Alliance for the Great Lakes

Natural Resources Defense Council

American Water Works Association


Association of State Drinking Water
Administrators
National Association of Clean Water
Agencies

Association of State and Interstate
Water Pollution Control Administrators
National Association of Drug
Diversion Investigators

National Safety Council
California Product Stewardship
Council & Northwest Product
Stewardship Council

New England Interstate Water
Pollution Control Commission

Oregon Poison Control

Clean Water Action

Save the Bay

Earth 911


Environmental Working Group
Washington Citizens for Resource
Conservation

IL/IN Sea Grant

Women’s Health and Environment
Network


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What is the
size of the
problem?
Source Reduction
The
Problem
Disposal Options for Waste Pharmaceuticals
Flushing
(13 Substances)
Household
Trash Disposal
Reduce Regulatory Barriers
to Cut Cost, Ensure Safety,
Enhance Environment
Take-backs
Preferred
Disposal
Facilities
Clear & Consistent Message
10
Facilitating Cost-effective Take-back
• Comments to DEA
• Comments to EPA
– UWR Change
• Input on Inslee/Moran bill
• Upcoming call to discuss next steps
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Trash vs. Take-back
• Some ready to move, some want more information
• Complex questions to answer:
– What are people most likely to do?
– Excretion v. disposal?
– Impact on poisonings/diversion?
• Ultimate disposal options
– Preferred disposal for envt/safety
– Capacity
– Upcoming calls
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Source Reduction
•
Convene a summit to bring the “front end” and the “back
end” of the problem together.
•
Potential strategies:
-
use samples differently
dispense smaller quantities
improve patient compliance
more accurate dosing
choose drugs according to ecotoxicity
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PSI Letters of Support
 Maine
 Oregon
 Washington
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http://www.takebacknetwork.com
For more information
PSI webpage:
http://www.productstewardship.us/pharmaceuticals
Sierra Fletcher, Associate-Policy and Programs
(617) 236-4886
[email protected]
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