[Pharmwaste] Response: Disposal kits

John Danby john.danby@ucdmc.ucdavis.edu
Fri, 18 Feb 2005 14:36:27 -0800


Small wonder that the docs tell patients to flush excess meds, as health
care providers have wasted excess meds to sinks and toilets since the dawn
of time.  Such is the problem in the implementation of a pharm waste mgmt
program, trying to explain to these folks why the process they've used
forever is no longer permissible.  Many have looked at me like I'd been
dipping into the controlled substances bag...

John G. Danby, CIH, CSP
Environmental Compliance Specialist
Occupational Safety
UC Davis Health System
916-734-7329
916-734-7309 (fax)


                                                                           
             Eileen Sousley                                                
             <EBSousley@cabarr                                             
             uscounty.us>                                              To: 
                                       "Galvin, Dave"                      
             02/18/2005 02:16          <Dave.Galvin@METROKC.GOV>, John     
             PM                        Danby                               
                                       <john.danby@ucdmc.ucdavis.edu>,     
                                       David Stitzhal                      
                                       <stitzhal@fullcircleenvironmental.c 
                                       om>                                 
                                                                       cc: 
                                       "pharmwaste@lists.dep.state.fl.us"  
                                       <pharmwaste@lists.dep.state.fl.us>, 
                                       "pharmwaste-admin@lists.dep.state.f 
                                       l.us"                               
                                       <pharmwaste-admin@lists.dep.state.f 
                                       l.us>, Scott Cassel                 
                                       <scott@productstewardship.us>       
                                                                  Subject: 
                                       RE: [Pharmwaste] Response: Disposal 
                                       kits                                
                                                                           
                                                                           
                                                                           
                                                                           
                                                                           
                                                                           




I agree that we need product stewardship on waste pharmaceuticals.  In my
community - when asked - we suggest that citizens bring their waste or left
over pharms back to the Pharmacy or even to the doctors office as they
already have to manage what is used in their offices, (same with their
sharps, but we do also provide tips on the safe ways to prepare sharps for
landfilling).  The most common problem we hear back is that doctors are
advising patients to FLUSH any left over meds down the TOILET.  One would
think that doctors of all professionals would know better than to do that,
but apparently not in my community.

Scott, is this something PSI has on their list?

Eileen Sousley
Cabarrus County, NC

From: pharmwaste-admin@lists.dep.state.fl.us
[mailto:pharmwaste-admin@lists.dep.state.fl.us] On Behalf Of Galvin, Dave
Sent: Friday, February 18, 2005 1:08 PM
To: 'John Danby'; David Stitzhal
Cc: pharmwaste@lists.dep.state.fl.us;
pharmwaste-admin@lists.dep.state.fl.us
Subject: RE: [Pharmwaste] Response: Disposal kits



I agree that some kind of home med destruction kit would replace one hazard
with another.  We are not interested in dealing with a soup of unknown meds
dissolved in a strong acid or base solution.  Hmmm, what then to do with
this container...


I disagree that the answer lies in having people bring old meds to the
local household hazardous waste collection service, run by local
government.  Those of us in that biz would much prefer a product
stewardship model involving return of waste pharmaceuticals to their place
of origin, either via local retail pharmacies, via pre-paid mailers, or via
some other system that does not put the burden for yet another problematic
wastestream onto local government and onto local ratepayers to pay for.


It is time to come up with a better, comprehensive solution.


-- Dave Galvin
   Local Hazardous Waste Management Program in King County (Seattle, WA)


-----Original Message-----
From: John Danby [mailto:john.danby@ucdmc.ucdavis.edu]
Sent: Friday, February 18, 2005 9:30 AM
To: David Stitzhal
Cc: pharmwaste@lists.dep.state.fl.us;
pharmwaste-admin@lists.dep.state.fl.us
Subject: Re: [Pharmwaste] Response: Disposal kits


Some things to consider:


Do you really want to put containers of hazardous chemicals (that would
"neutralize" pharms) in the hands of the consumer?  Are you not trading one

set of hazards for another?


What would the consumer do with the used container of chemicals/drugs?
Seems like there is still a hazardous waste disposal issue.  Very unlikely
that you would be left with a non-hazardous result.


A better way to handle this would be to encourage the collection of excess
consumer meds by the local household hazardous waste entity.


John G. Danby, CIH, CSP
Environmental Compliance Specialist
Occupational Safety
UC Davis Health System
916-734-7329
916-734-7309 (fax)






             David Stitzhal
             <stitzhal@fullcir
             cleenvironmental.                                         To:
             com>                      pharmwaste@lists.dep.state.fl.us
             Sent by:                                                  cc:
             pharmwaste-admin@
             lists.dep.state.f                                    Subject:
             l.us                      [Pharmwaste] Response: Disposal
                                       kits

             02/18/2005 08:25
             AM










Hi Lucy.


I haven't heard of a consumer product that uses "nasty chemicals" to
dissolve unwanted meds. However, that is an approach that was
discussed among a pharmaceutical task force here in the Northwest for
dealing with commercial volumes of unwanted pharm's. I can get you
more details if you want when I return. I am leaving town after today
for two weeks and am swamped with last minute details.


Cheers.


Stitzhal
--
David Stitzhal, MRP
President
Full Circle Environmental, Inc.
3111 37th Place South
Seattle, WA 98144
U.S.A.
206-723-0528 phone
206-723-2452 fax
stitzhal@fullcircleenvironmental.com
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