[Pharmwaste] Does your state have a list ofhazardouspharmaceuticals?

matthew mireles mirelesmc at earthlink.net
Thu Mar 20 22:37:37 EDT 2008


That is correct.  We only have the data from samples of take-back programs.
A sample of unused and expired medicines (UEM) indicated 40% of prescription
meds were never used based on actual pill (pill, capsule, and tablet) count
and expected standard packsize.  A recent sample from CA showed about 52%.
Since these are data from our National Unused and Expired Medicines
Registry, we can't generalized too much from the info we have-a limitation
for any registry.  


Do you by any chance have an estimate on response rate for participation at
take-back program?  We did a quick pilot study in Houston with a closed
population and determined a participation rate of 17%.


Matthew C. Mireles



From: Eva Dale [mailto:eva at wastenotwashington.org] 
Sent: Thursday, March 20, 2008 7:52 PM
To: matthew mireles; 'Richard Buggeln'; pharmwaste at lists.dep.state.fl.us
Subject: RE: [Pharmwaste] Does your state have a list



I just want to clarify the 40% - 50% you refer to. It's my understanding
and not

40% - 50% of prescription drugs. Please, could you clarify this?


Also, I know that there are many different sources for rates of disposing of
drugs down the drain. I would like to add to the data in use by giving
statistics from a survey performed on a sample of King County residents
(Seattle, WA area). When asked "How does your household typically get rid of
unused or expired medicines?" the responses were: 

52% put in household garbage/trash and

20% flush down the toilet or sink

The remainder reported using other methods or responded with "does not

(The margin of error is +/- 4%.)

For more survey results, check out



Eva Dale

Pharmaceuticals and the Environment Project 
Washington Citizens for Resource Conservation 
2021 Third Avenue 
Seattle, WA 98121 
(206) 441-1790 

eva at wastenotwashington.org



-----Original Message-----
From: pharmwaste-bounces at lists.dep.state.fl.us
[mailto:pharmwaste-bounces at lists.dep.state.fl.us]On Behalf Of matthew
Sent: Thursday, March 20, 2008 7:51 AM
To: 'Richard Buggeln'; pharmwaste at lists.dep.state.fl.us
Subject: RE: [Pharmwaste] Does your state have a list



We code pharmaceutical products based on the PBT Index (persistence in the
environment, bioaccumulation, and toxicity) for our National Unused and
Expired Medicines Registry.  This classification system, developed by our
Swedish counterpart, is used widely in Europe to categorize environmental
hazard potential of common medicines that might get into the water.  The
testing is based on standard risk assessment methods.  There are only about
300 drugs on this current list, and we are working to help the Swedish group
expand this list.  Are you familiar with this system?


I can talk to you more in detail about our Registry and application of this
classification system.  Is anyone else collecting data on returned
consumers' pharmaceutical products?  We would love to compare data.  We now
have good data from the west and east coast and discovered that about
40%-50% of prescription drugs are never used by the consumers and usually
would be thrown away by flush down the toilet and sink.  This is a very
disturbing finding.



Matthew C. Mireles, PhD, MPH

President and CEO

Community Medical Foundation for Patient Safety

www.comofcom.com <http://www.comofcom.com/> 




From: pharmwaste-bounces at lists.dep.state.fl.us
[mailto:pharmwaste-bounces at lists.dep.state.fl.us] On Behalf Of Richard
Sent: Friday, March 14, 2008 8:42 AM
To: pharmwaste at lists.dep.state.fl.us
Subject: [Pharmwaste] Does your state have a list of



Florida has a list of some 200+ hazardous pharmaceuticals...a useful aid for
hospitals and regulators.  Tennessee regulators have asked whether other
states have similar lists, perhaps even more inclusive than Florida's list.
I would appreciate hearing from you, whether or not you have a list of
hazardous pharms---and/or personal care products---so that Tennessee
Department of Environment and Conservation "knows what's out there".  I
would happy to provide you with the final compilation of information. 

Thanks for your help. 


Richard Buggeln, Ph.D. 
Manager, Environmental Programs &
Tennessee Materials Exchange
University of Tennessee
Center for Industrial Services
105 Student Services Bldg.
Knoxville, TN 37996
Phone: 865.974.9058
fax: 865.974.1528

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