[Pharmwaste] definition of hazardous waste pharmaceuticals

gressitt@uninets.net gressitt@uninets.net
Mon, 15 Aug 2005 17:10:37 -0400


Charlotte, ASHP is engaged in the process. It looks good.
Stevan Gressitt

On Mon, 15 Aug 2005 15:49:36 -0500
 "Charlotte A. Smith" <csmith@pharmecology.com> wrote:
> I was on the NIOSH Hazardous Drug Working Group and
> helped draft the
> waste disposal language. NIOSH is approaching the subject
> from an
> employee exposure perspective which drove their
> categories. The disposal
> section had to be carefully crafted to express both RCRA
> requirements
> and best management practices. NIOSH was very sensitive
> to EPA's
> territory and we had two EPA representatives at the last
> meeting. I
> think it would be great to have the hazardous drugs in
> Appendix A added
> to the RCRA list and updated annually as NIOSH has
> pledged to do. I am
> making that recommendation at the EPA Pharm Waste meeting
> in Las Vegas
> next week. 
>  
> I presented at ASCP quite some time ago and at ASHP in
> 2001. If anyone
> can get involved  and raise the issue higher, that would
> be great. My
> profession needs a great deal of education around these
> issues. 
>  
>  
> Charlotte A. Smith, R. Ph., M.S., HEM
> President
> PharmEcology Associates, LLC
> 200 S. Executive Drive, Suite 101
> Brookfield, WI 53005
> 262-814-2635
> Fax 414-479-9941
> www.pharmecology.com <http://www.pharmecology.com/> 
> H2E Champion for Change Award
> 
> -----Original Message-----
> From: pharmwaste-admin@lists.dep.state.fl.us
> [mailto:pharmwaste-admin@lists.dep.state.fl.us] On Behalf
> Of Tenace,
> Laurie
> Sent: Monday, August 15, 2005 2:55 PM
> To: pharmwaste@lists.dep.state.fl.us
> Subject: [Pharmwaste] definition of hazardous waste
> pharmaceuticals
> 
> 
> 
> I was reading the NIOSH Alert "Preventing Occupational
> Exposure to
> Antineoplastic and Other Hazardous Drugs in Health Care
> Settings"
> (http://www.cdc.gov/niosh/docs/2004-165/ ) today. NIOSH
> uses a
> definition of "hazardous" that is based on an ASHP
> (American Society of
> Health-System Pharmacists) definition originally
> developed in 1990.
> NIOSH's definition includes carcinogenicity,
> teratogenicity or other
> developmental toxicity, reproductive toxicity, organ
> toxicity at low
> doses, genotoxicity, and structure and toxicity profiles
> of new drugs
> that mimic existing drugs determined hazardous by the
> above criteria. It
> doesn't consider ignitability or corrosivity. 
> 
>  
> 
> On the other hand, EPA's criteria for identifying the
> characteristics of
> hazardous waste in 40CFR 261.11 is much different and
> many of the
> hazardous drugs listed on the NIOSH guidance are not in
> 40 CFR 261
> Appendix VIII. (attached)
> 
>  
> 
> Here's some OSHA information about hazardous drugs:
> http://www.osha.gov/SLTC/hazardousdrugs/index.html
> (scroll down to the
> OSHA e-tools)
> 
>  
> 
> If you are working with hospitals, nursing homes,
> extended living
> facilities, etc.  it will be good to know to
> differentiate these two
> definitions of "hazardous"- their definition of toxicity
> based on OSHA
> will not necessarily coincide with their state
> environmental agency's
> definitions. 
> 
>  
> 
> Can anyone comment more on how OSHA and EPA differ in
> these definitions?
> 
>  
> 
> **
> 
>  
> 
> I also found a web site today -
>
http://healthcare.monster.com/articles/hcconferencecalendar/
> with this
> list of pharmacy-related conferences - if it's near your
> home, why not
> try to get on the agenda with the waste disposal issue?
> 
> *	National  <http://www.nacds.org/wmspage.cfm?parm1=872>
> Association of Chain Drug Stores Pharmacy and Technology
> Conference,
> August 27-31, San Diego 
> 
> *	National  <http://www.ncpanet.org/calendar/index.shtml>
> Community Pharmacists Association Annual Convention &
> Trade Exposition,
> October 15-19, Fort Lauderdale 
> 
> *	American College of Clinical  <http://www.accp.com>
> Pharmacy
> 2005 Annual Meeting, October 23-26, San Francisco 
> 
> *	American Society of Consultant Pharmacists 36th Annual
> Meeting
> <http://www.ascp.com/public/meetings/2005/am/industry/> &
> Exhibition,
> November 9-12, Boston 
> 
> *	American Society of  <http://www.ashp.org/meetings/>
> Health-System Pharmacists Midyear Clinical Meeting,
> December 4-8, Las
> Vegas 
> 
> *	American Society for  <http://www.ascpt.org/annual/>
> Clinical
> Pharmacology & Therapeutics 2006 Annual Meeting, March
> 7-11, 2006,
> Baltimore 
> 
> *	American Pharmacists Association's APhA2006
>
<http://www.aphameeting.org/index.cfm?fuseaction=Custom.Content&MenuID=1
> 00> , March 17-21, 2006, San Francisco 
> 
> *	American College of  <http://www.accp.com/meetings.php>
> Clinical
> Pharmacy 2006 Spring Practice and Research Forum, April
> 9-12, 2006,
> Monterey, California 
> 
>  
> 
>  
> 
>  
> 
> Thanks,
> 
> Laurie
> 
>  
> 
> 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@dep.state.fl.us
> 
>  
> 
> view our mercury web pages at: 
> 
>
http://www.dep.state.fl.us/waste/categories/mercury/default.htm
> 
>  
> 
>  
> 
>  
>