Transcript CHPA Webcast Slides 11 4x

Promoting Safe Medication Use
and Storage
Overview of Policy & Education Efforts
Emily Skor
Executive Director
CHPA Educational Foundation
Prescription for
Child Safety: Put
Medicines Up and
Away and Out of
Sight
Making Safe Medicine
Storage a Priority
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The Impetus for Action
1. The Scope and Impact of Unintentional
Pediatric Medication Overdoses
• Data provided by Dan Budnitz, MD, MPH, CAPT,
USPHS, Director of the Medication Safety Program
of Centers for Disease Control and Prevention
2. Need for consumer education
• Up and Away and Out of Sight
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A Common Occurrence
•
More than 500,000 parents and caregivers call a Poison Center each
year after a child gets into a medicine, or is accidentally given the
wrong dose.
•
Each year, one of every 150 two-year-olds visits an emergency
department (ED) in the United States for an unintentional medication
overdose.
•
Of these overdoses, approximately 95% are due to young children
finding and eating or drinking medicines without adult supervision.
•
This means that more than 60,000 young children – roughly four
school busloads of children each day – end up in EDs every year
because they got into medicines while their parent or caregiver was not
looking.
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High Incidence of Emergency Visits for
Adverse Events in Children <5 Years Old
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Budnitz DS et al. JAMA 2006;296:1858-1866
Unintentional Overdoses Cause Most
Emergency Visits in Children <5 Years Old
2004-2005
Type
7
Percent
Unintentional
Overdoses
58%
Allergic Reactions
28%
Side Effects
5%
Vaccine Reactions
8%
Secondary Effects
1%
Cohen AL, et al. J Pediatr 2008;152: 416-421
Unsupervised Ingestions Cause Most
Emergency Visits for Medication Overdoses
Children ≤5 years old, 2007-2011
Type of Overdose
Unsupervised Ingestion
95%
DRAFT
Annual
Estimate
No.
No.
7,070
67,642
Medication Error
344
2,978
Other Unintentional OD
112
1,014
7,526
71,634
Total
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Cases
Estimates from the National Electronic Injury Surveillance System-Cooperative
Adverse Drug Event Surveillance Project (NEISS-CADES), 2007-2011
ED Visits for Medication Overdoses
vs. Motor Vehicle Occupants
Visits in 1,000s
(Children <5 years)
Medication
Overdoses
Motor Vehicle
Occupants
Year
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www.cdc.gov/injury/wisqars/index.html
National Electronic Injury Surveillance System-Cooperative Adverse Drug Event Surveillance Project (NEISS-CADES)
Advancing Children’s Medicine Safety
•
PROTECT partnership of CDC, CHPA Educational Foundation, AAR, and many
other public health, health professional, patient organizations:
•
Safety packaging innovations
•
Labeling improvements
•
Up and Away and Out of Sight educational campaign
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Educating Consumers on Safe Storage
• Up and Away and Out of Sight
aims to:
o Remind parents and caregivers
about safe medicine storage;
o Provide parents and caregivers with
information, resources, and tools to
keep their children safe; and
o Encourage and inform parents and
caregivers to take action to protect
their children from accidental
ingestion.
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Aligning PROTECT Voices
Government
Agencies
Professional
Non-Profits
Organizations
>500 million educational
consumer media
impressions
Industry
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Role of Grandparents
•
Today, more than 5.4 million
children are being raised in
households headed by grandparents.
•
One in eight grandparents care for a
grandchild on a regular basis.
•
34 percent of grandparents say they
take a prescription medicine every
day.
•
Over one-third of medication
poisonings involve a grandparents’
medicine.
1Ferguson
RW, Mickalide AD. An In-Depth Look at Keeping Young Children Safe around Medicine. Washington, DC: Safe Kids Worldwide,
March 2013.
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UpandAway.org
• Free Resources:
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Brochure
Travel tips
Grandparent tips
Customizable print PSA
Video PSA
Coloring book pages
Pledge
• Available in English and Spanish
• Available on UpandAway.org
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Thank you.
Points of Contact:
•
Emily Skor at
eskor@@chpa.org
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Kate Carr
President & CEO
Safe Kids Worldwide
Keeping Kids Safe Around Medicine
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What We Learned from Grandparents
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What We Learned
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What We Learned
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What We Learned
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What We Learned
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What We Learned
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What We Learned
Among grandparents who give their grandchildren medicine:
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Tips for Keeping Kids Safe
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Keep all medicine up and away when young children are around, even medicine you take
every day.
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Be alert to potential hazards of medicine stored in other locations, like pills in purses,
vitamins on counters, and medicine in nightstands.
•
Choose child-resistant caps for medicine bottles, if you’re able to. If pill boxes or non-child
resistant caps are the only option, it’s even more important to store these containers up
high and out of sight when caring for kids.
•
Find a take back program in your community.
•
Program the nationwide Poison Help Number (1-800-222-1222) into your phones.
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Visit safekids.org for more tips on safe storage, safe dosing and safe disposal of medicine.
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Resources for You
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Protecting Children from Injuries
www.SafeKids.org
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Stephen Pasierb
President & CEO
Partnership for Drug-Free Kids
Marcia Lee Taylor
Senior Vice President, Director of Government Affairs
Partnership for Drug-Free Kids
Promoting Safe Medication Use
and Storage
Alliance for Aging Research Webinar
November 4, 2014
Medicine abuse – frightening behavior
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Medicine abuse – frightening behavior
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Medicine abuse – frightening behavior
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Medicine abuse – access
Sources of prescription narcotics:
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Given for free by friend/relative
From Rx they had
Bought from friend/relative
Took from friend/relative
Bought from dealer/stranger
Other
Bought on Internet:
57.2
36.7
33.6
19.5
17.5
10
1.4
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Safeguard Medicine in Your Home
• Three Easy Steps:
• Monitor
• Secure
• Dispose
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Safeguard Medicine In Your Home: Monitor
• Take note of how many pills are in each of your prescription bottles
or pill packets.
• Keep track of your refills. If you find you need to refill your medicine
more often than expected, that could indicate a problem.
• Monitor dosages and refills for any teens in your home, especially if
the medication is commonly abused.
• Make sure your friends and relatives — especially grandparents —
are also aware of the risks. Encourage them to regularly monitor
their own medicines.
• If there are other households your teen has access to, talk to those
families as well about the importance of monitoring and
safeguarding their medications.
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Safeguard Medicine In Your Home: Secure
• Approach securing your prescriptions the same way you
would other valuables in your home, like jewelry or cash.
• Take prescription medicine out of the medicine cabinet
and secure them in a place only you know about.
• If possible, keep all medicines, both prescription and
over-the-counter, in a safe place, such as a locked
cabinet your teen cannot access.
• Tell relatives, especially grandparents, to lock their
medicine or keep them in a safe place.
• Talk to the parents of your teenager’s friends. Encourage
them to secure their prescriptions as well.
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Safeguard Medicine In Your Home: Dispose
• Take an inventory of all of the medicine in your home. Start by
discarding expired or unused Rx and OTC medicine when your
teens are not home.
• Mix the medicine with an undesirable substance, such as used
coffee grounds or kitty litter. Put the mixture into an empty can or
bag and discard.
• Unless the directions on the packaging say otherwise, do not flush
medicine down the drain or toilet.
• To help prevent unauthorized refills and protect your own and your
family’s privacy, remove any personal, identifiable information from
prescription bottles or pill packages before you throw them away.
• Go to medicineabuseproject.org to find a permanent disposal
location near you.
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Emily Skor
Executive Director
CHPA Educational Foundation
Safe Medicine Disposal
• Take-Back? Flush? Toss?
– What’s the environmental impact of home disposal?
– How can I find a take-back site?
– Why does the FDA say to put some medicines in the
trash and to flush others?
– When flushing isn’t recommended,
how can I dispose medicines
safely at home?
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Environmental Concerns
• ONDCP and FDA guidance state that trash
disposal is an environmentally safe way to dispose
of most medicines
– The trash is either incinerated or placed in landfills
specifically designed to control leachate.
• Disposal of a select few medicines by flushing
contributes only a small fraction of the total amount
of medicine found in the water.
– The majority of medicines found in the water system are a
result of the body’s natural routes of drug elimination (in
urine or feces).
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What Should Consumers Do?
Take advantage of take-back sites.
• Medicine take-back programs for disposal are a
good way to remove expired, unwanted, or
unused medicines from the home and reduce
the chance that others may accidentally take the
medicine.
• Contact your city or county government's
household trash and recycling service to see if
there is a medicine take-back program in your
community.
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What Should Consumers Do?
When take-back is unavailable, dispose at home.
• Flushing is appropriate in only some instances
– A small number of Rx medicines may be especially
harmful and, in some cases, fatal with just one dose if
they are used by someone other than the person for whom
the medicine was prescribed.
– These medicines have specific disposal instructions
indicating they should be flushed down the sink or toilet
as soon as they are no longer needed, and when they
cannot be disposed of through a medicine take-back
program.
– Always read the information that comes with your
medicines.
– Go to the FDA.gov and search for “medicine disposal” to
see a list of “flush-able” medicines.
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What Should Consumers Do?
When take-back is unavailable, dispose at home.
• Follow these simple steps from the FDA to dispose
of most medicines (and all OTCs) in the household
trash:
1. Mix medicines (do NOT crush tablets or capsules) with
an unpalatable substance such as kitty litter or used
coffee grounds.
2. Place the mixture in a container such as a sealed plastic
bag; and
3. Throw the container in your household trash.
REMEMBER! For prescription medicines, scratch out all
information on the label to make it unreadable.
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Rebecca Burkholder
Vice President, Health Policy
National Consumers League
Promoting Save Medication Use and
Storage:
The importance of
Medication
Adherence
What is Medication Adherence?
Taking your medication(s)
EXACTLY as directed by your
health care professional.
Why Medication Adherence?
“America’s Other Drug Problem . ..”
And 125,000 people die every year due to poor adherence
Why Should I Take My Medications?
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Fewer doctor visits
Fewer emergency room visits
Reduced medical costs
Better quality of life
A longer and HEALTHIER life
Why Patients Don’t Take Their
Medications
• Forgetfulness
• Complexity of regimen and trouble with
administration
• Unpleasant side effects
• Unconvinced of need and effectiveness of
medication
• Cost
What Patients Can Do
Assess:
When you miss
your medication,
which one do you
miss and how often
do you miss it?
Engage:
Why do you miss
your medicine?
What makes it
difficult for you to
take your
medication?
Resolve:
Based on the
reasons, find a
solution
Solutions: From Low Tech to High Tech
For this…
Try this..
Forgetting
A reminder from a family member or others,
text or email reminders, alarms, calendars
(paper, electronic)
Side effects
Talk to pharmacist, doctor, nurse or other
health care professional (HCP) about options
Not working
Talk to HCP about condition and medication
Cost
Ask about generic or payment assistance
Running out of
medicines
Request refills ahead of time, enroll in a autorefill program, med sync programs
Tools and Tips
Develop a schedule or system that fits your
normal routine
Use daily or weekly pill box or dispenser – but
only if child safe
Use an alarm (phone, computer, etc)
Use text reminders
Ask family members to remind you
Post reminder notes
Use a calendar
ScriptYourFuture.org
Wallet Card
Script Your Future
130+ Partners working
together
to improve medication
adherence
Q & A Session