[Pharmwaste] FW: seeking info

Lucy, Burke Burke.Lucy at CalRecycle.ca.gov
Thu Mar 15 19:33:26 EDT 2012


I like your fact sheet Cheri.  Deb, if you're doing any content cobbling, I think one more fact could be added to the end after Cheri's last fact that says:

"Providing a safe and sustainable take-back program would cost the drug companies a couple of pennies per container of medicine sold in our state."

Considering PhRMA et.al. has already opposed takeback programs at least in Maine<http://www.circleofblue.org/waternews/wp-content/uploads/2011/11/main-pharma-ad.jpg> saying they'll likely raise your medicine costs and they're starting to make the same claims in opposition to the proposed Alameda takeback ordinance, I think there's an opportunity to say something to the effect that,

"Consumers reportedly are willing to pay about $1.53 per prescription, which would represent pennies per container of medicine sold."

That comes from "Pharmaceuticals in wastewater: Behavior, preferences, and willingness to pay for a disposal program."  Journal of Environmental Management 90 (2009) 1476-1482. Available: www2.bren.ucsb.edu/~kotchen/links/pharms.pdf ("The more conservative estimate of mean willingness to pay is $1.53 per prescription...").  If you go with $69.91 per prescription (from the 2008 Kaiser report, Prescription Drug Trends available: www.kff.org/rxdrugs/upload/3057_07.pdf<http://www.kff.org/rxdrugs/upload/3057_07.pdf>), then it would be pennies.

Burke



Mr. Burke Lucy
Integrated Waste Management Specialist
Department of Resources Recycling and Recovery (CalRecycle)
1001 I Street, PO Box 4025
Sacramento, CA 95812
Burke.Lucy at CalRecycle.ca.gov<mailto:Burke.Lucy at CalRecycle.ca.gov>
916.341.6592

From: pharmwaste-bounces at lists.dep.state.fl.us [mailto:pharmwaste-bounces at lists.dep.state.fl.us] On Behalf Of Grasso, Cheri
Sent: Thursday, March 15, 2012 10:29 AM
To: 'Stevan Gressitt'; Joel Kreisberg
Cc: Tenace, Laurie; deb.hoffman at epa.state.oh.us; pharmwaste at lists.dep.state.fl.us
Subject: RE: [Pharmwaste] FW: seeking info

Hi Deb,
The link below has a 2-page fact sheet describing the problem w/statistics.  Citations to statistics are in 2nd link:

General: http://www.takebackyourmeds.org/pdf-files/what-is-take-back-your-meds-2
Citations: http://www.takebackyourmeds.org/pdf-files/citations-what-is-take-back-your-meds

Cheri Grasso
Pharmaceuticals Project
Local Hazardous Waste Management Program in King County
130 Nickerson Street, Suite 100 | Seattle, WA  98109 | 206-263-3089
Local Governments for Health and the Environment www.lhwmp.org<www.lhwmp.org%20>
Protect our Kids, Families, the Environment  www.takebackyourmeds.org

From: pharmwaste-bounces at lists.dep.state.fl.us<mailto:pharmwaste-bounces at lists.dep.state.fl.us> [mailto:pharmwaste-bounces at lists.dep.state.fl.us]<mailto:[mailto:pharmwaste-bounces at lists.dep.state.fl.us]> On Behalf Of Stevan Gressitt
Sent: Friday, March 09, 2012 12:41 PM
To: Joel Kreisberg
Cc: Tenace, Laurie; deb.hoffman at epa.state.oh.us<mailto:deb.hoffman at epa.state.oh.us>; pharmwaste at lists.dep.state.fl.us<mailto:pharmwaste at lists.dep.state.fl.us>
Subject: Re: [Pharmwaste] FW: seeking info

Try page 1 of attached


Rationale for a Concerted Focus on Unused Pharmaceuticals
Ilene S. Ruhoy, MD
Doctoral Candidate
University of Nevada, Las Vegas
Department of Environmental Studies
Stevan Gressitt, MD
Maine Benzodiazepine Study Group, The Drug Disposal Group,
Medical Director, Northeast Occupational Exchange,

Corresponding Author: 314 Clark Road, Unity, Maine, 04988 207-441-0291 gressitt at uninets.net<mailto:gressitt at uninets.net>

2nd INTERNATIONAL SYMPOSIUM ON ENVIRONMENT
August 2-3, 2007, Athens, Greece
Abstract:
                Unused and unwanted consumer pharmaceuticals have a negative impact on public health. The lack of effective and efficient methods of drug disposal has resulted in unwelcome social, cultural, ecological, and global effects.
Among the many issues pertinent to unused consumer medication, we have comprehensively explored and addressed six specific and significant problems;
1)                     Childhood Poisoning: Unintentional pharmaceutical poisonings of children, resulting in unnecessary morbidity and mortality.
2)                     "Pharming": Theft and social use, misuse, and abuse of pharmaceuticals by teenagers, adults, and older adults.
3)                     Excessive Accumulation and Polypharmacy: Polypharmacy, non-compliance and/or poor adherence to medication regimens, and medication errors contributes to accumulation and poor patient outcome.
4)                     Unintended Environmental Exposure: Potential deleterious effects on wildlife and humans due to drug deposition in surface and ground waters as a result of both disposal and excretion pathways.
5)                     Inappropriate Humanitarian Drug Donations: Under-regulated and poorly controlled methods of international donations to countries in need, resulting in massive amounts of "gifts" of unused and expired pharmaceuticals. Expired and unwanted drugs ultimately become accumulated waste, some of which may be hazardous, due in part to the lack of an environmentally sound disposal or destruction method.
6)                     Pharmacoeconomics: Unused medications contribute to wasted health care dollars. The purchase costs of drugs to the consumer, the insurance carrier, and the taxpayer have continued to increase in the past decade.

These issues define the problem of proper disposal of unused pharmaceuticals and beg for acceptable solutions to protect human and environmental health.

On Fri, Mar 9, 2012 at 2:46 PM, Joel Kreisberg <drkreisberg at teleosis.org<mailto:drkreisberg at teleosis.org>> wrote:
I hope this helps.

Joel
On Fri, Mar 9, 2012 at 6:53 AM, Tenace, Laurie <Laurie.Tenace at dep.state.fl.us<mailto:Laurie.Tenace at dep.state.fl.us>> wrote:
Please note the sender was Deb Hoffman, not me.
Laurie


Please take a few minutes to share your comments on the service you received from the department by clicking on this link. DEP Customer Survey<http://survey.dep.state.fl.us/?refemail=Laurie.Tenace@dep.state.fl.us>.
From: Hoffman, Deb [mailto:deb.hoffman at epa.state.oh.us<mailto:deb.hoffman at epa.state.oh.us>]
Sent: Friday, March 09, 2012 8:22 AM
To: pharmwaste-bounces at lists.dep.state.fl.us<mailto:pharmwaste-bounces at lists.dep.state.fl.us>
Subject: seeking info

Greetings,

I'm trying to find a single document or two that briefly cover the reasons for pharmaceutical collections.  In other words, while we all are regularly bombarded with articles on pharmaceuticals in our waterways and we all know the drug diversion groups want to get them out of medicine cabinets; I'm having trouble finding one good document to explain what these dangers are, with statistics and/or facts.

I'm specifically looking for something short - maybe 2 pages maximum.
Any good ideas?

Thanks,
Deb


Deb Hoffman
Environmental Specialist
Division of Materials and Waste Management
Ohio EPA
614.728.5353<tel:614.728.5353>


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--
Dr. Joel Kreisberg, DC, MA, CCH
www.joelkreisberg.com<http://www.joelkreisberg.com>
www.drkreisberg.org<http://www.drkreisberg.org>
www.teleosis.org<http://www.teleosis.org/>
drkreisberg at teleosis.org<mailto:drkreisberg at teleosis.org>
510-558-7285 Ext 102<tel:510-558-7285%20Ext%20102>


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--
Stevan Gressitt, M.D.
Faculty Associate, University of Maine Center on Aging
Academic Member, Athens Institute for Education and Research
Athens, Greece
Founding Director, International Institute for Pharmaceutical Safety
University of New England, College of Pharmacy
Department of Pharmaceutical Sciences
Associate Professor of Clinical Psychiatry
University of New England, College of Osteopathic Medicine
314 Clark Road
Unity, Maine, 04988
gressitt at gmail.com<mailto:gressitt at gmail.com>
Cell: 207-441-0291
www.benzos.une.edu<http://www.benzos.une.edu>
www.safemeddisposal.com<http://www.safemeddisposal.com>
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