[Pharmwaste] Controlled drugs dumped uncontrolled into water (AP article)

[Tenace, Laurie]

http://seattlepi.nwsource.com/health/1500ap_pharmawater_narcotics.html

Controlled drugs dumped uncontrolled into water
By JEFF DONN
AP NATIONAL WRITER

MINNEAPOLIS -- In a frustrating quirk in government policy, the most tightly
controlled drugs - like painkilling narcotics prone to abuse - are the ones
that most often elude environmental regulation when they become waste.

Federal narcotics regulators impose strict rules meant to keep controlled
pharmaceuticals out of the wrong hands. Yet those rules also make these drugs
nearly impossible to handle safely as waste, say hospital environmental
administrators.

Many would like to send controlled substances to landfills or incinerators to
keep them out of waterways as much as possible. Instead, they are nearly
always dropped into sinks and toilets by hospitals, nursing homes and other
long-term care facilities.

The problem is huge, because more than 365 medicines are controlled by the
U.S. Drug Enforcement Administration - almost 12 percent of all
prescriptions, the agency says. They include widely used narcotics,
stimulants, depressants and steroids - drugs like codeine, morphine,
oxycodone, diazepam (often sold as Valium) and methylphenidate (often sold as
Ritalin).

At Abbott Northwestern Hospital here, nurse Keri Osborne recently was opening
a locked room at a spine surgery unit, where a machine must check her
fingerprints before she pours unused controlled drugs into the sink.

"Back pain, so there's a lot of narcotics here," she explains. Much of the
waste consists of liquid in syringes that aren't completely emptied when used
to treat patients.

Though a leader in incinerating drug waste, this hospital still puts four
gallons of controlled substances down the drain each year, says hazardous
waste manager Steven Waderich.

It would be very expensive to do otherwise. "Managing controlled substances,
the cost goes up just through the roof," he says.

In nearby Robbinsdale, North Memorial Medical Center pours 50 gallons of
controlled substances into its drains annually rather than pay $25,000 to
handle and haul it away for safer disposal, says regulated waste coordinator
Jerry Fink.

Part of the cost is due to federal rules that state anyone who handles
controlled substances, other than a user, must be certified as a police
officer or registered with the DEA. That goes for pharmacists, distributors,
even waste handlers.

State waste regulators take their cue from federal law and regulations.

Thus, typical assisted-living centers, which are not registered with the DEA,
cannot collect unused controlled drugs of residents for offsite disposal.

Even the destruction of controlled drugs must be meticulously documented, so
they aren't diverted to addicts. Medical facilities typically send a second
staffer to bear witness when controlled substances are poured into sinks or
toilets.

Many waste experts now want to rewrite the rules so a broader range of
professionals can handle leftover controlled drugs. "And DEA - truth be told
- has not been very cooperative and responsive in that regard," says waste
consultant Catherine Zimmer at the University of Minnesota.

That could change. The DEA declined requests for an on-the-record interview,
but in a statement, spokeswoman Rogene Waite said: "DEA is currently
developing regulations to allow for the safe and effective destruction of
controlled substances."

Ben Grumbles, the Environmental Protection Agency's water administrator,
confirmed his agency has participated in these discussions. He would not
provide details, but called the talks productive.

Laurie J. Tenace
Environmental Specialist
Florida Department of Environmental Protection
2600 Blair Stone Road, MS 4555
Tallahassee, Florida 32399-2400
PH: (850) 245-8759
FAX: (850) 245-8811
Laurie.Tenace at dep.state.fl.us 

Mercury web pages:
http://www.dep.state.fl.us/waste/categories/mercury/default.htm

Unwanted Medications web pages:
http://www.dep.state.fl.us/waste/categories/medications/default.htm




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