[Pharmwaste] Wisconsin has another take-back record

Volkman, Jennifer (MPCA) jennifer.volkman at state.mn.us
Fri Jan 4 14:15:10 EST 2019

Happy Friday! Maybe we'll get back to knowing what day of the week it is, ay?

Minnesota established new prescribing guidelines for opioids/controlled substances. I think doctors are following them, or beginning to. https://mn.gov/dhs/assets/mn-opioid-prescribing-guidelines_tcm1053-337012.pdf Mayo has been and has gotten more strict in particular. The pendulum appears to have swung fully to the ultra-conservative side from the "free for all" side. My concern is that it will resort in "hoarding" them vs. turning in the leftovers. Anecdotally, that seems to be the case when I bring it up in different groups.

There is also an effort named "One Health Antibiotic Stewardship" that is working on better targeted and less prescription of antibiotics. We are doing some good work that I sure hope reduces the prescribing of those. http://www.health.state.mn.us/onehealthabx/   This might also be a program that other states are working on. I believe there were national dollars available to support it, but that might have come through the University.

We don't collect much during the annual events. It could be because we have a lot of permanent sites, but I believe WI is sitting good there as well. It could also be due to the effort, or lack thereof, of associated advertising. I don't see much here, other than city/local paper level.

It is my understanding that DEA will pay for volume collected during the year if a permanent site collects on the event date/s and disposes of their annual volume during/right after the event. DEA gets more credit for doing good and it is good that they cover disposal. Not all MN collection sites take advantage of that for reasons I haven't investigated, other than our metro sites are large enough that they have to keep up with disposal. So it could be that the volume isn't reflective of just a one day event, but the event volume plus 6 months of volume collected by permanent sites. I know that for us, the overlap creates a potential double count issue when we collect data on the total collected annually. Our amounts keep climbing as we continue to add sites. We're looking forward to a downward trend, but I figure that is years away yet.

A large benefit of product stewardship legislation is that the program plans are required to include an education effort. The State doesn't have a dedicated educational effort, except through leveraging some of the opioid related grants and the antibiotic work. If we could afford our own commercial after every new fabulous drug commercial...

From: Pharmwaste <pharmwaste-bounces at lists.dep.state.fl.us> On Behalf Of Catherine Zimmer
Sent: Friday, January 4, 2019 10:19 AM
To: 'Miller, Christine M.' <Chris.Miller at outagamie.org>; 'Ed Gottlieb' <EGottlieb at cityofithaca.org>; pharmwaste at lists.dep.state.fl.us
Subject: Re: [Pharmwaste] Wisconsin has another take-back record

Hi Christine and all,

Christine, I couldn't agree more.  There is no longer anyone taking the reins on source reduction of pharmaceuticals.  Steven Gressitt and I were trying to work that angle, but unfortunately Steven died and I am a consultant in private practice.  While I've tried to find grants to pursue this type of work, there really aren't any that are viable.  As you know, grants take a lot of administrative effort and must be fairly large to be economically viable.

In 2012 the Center for Medicaid Services (CMS) enacted legislation that would allow trial doses of rx without requiring a copay (I think it was), but that has not been widely enacted.  I also did work on vouchers rather than samples.  The other point of course is we are a drug oriented society and most people demand a pill rather than other options to address ailments.  Lastly, in addition, we really need MD to push the change to less drugs and better health.

Very truly yours,

Catherine Zimmer, MS, BSMT
Executive director, HEARRT Midwest<http://www.hearrtmidwest.wildapricot.org/>
Principal, Zimmer Environmental Improvement
Improving processes, minimizing and managing waste and, reducing costs.
T:  651.645.7509
zenllc at usfamily.net<mailto:zenllc at usfamily.net>

From: Pharmwaste [mailto:pharmwaste-bounces at lists.dep.state.fl.us] On Behalf Of Miller, Christine M.
Sent: Friday, January 4, 2019 9:57 AM
To: Ed Gottlieb; pharmwaste at lists.dep.state.fl.us<mailto:pharmwaste at lists.dep.state.fl.us>
Subject: Re: [Pharmwaste] Wisconsin has another take-back record

Not sure if I'm happy about this news??? A double edge sword once again in the world of waste.

On one hand people in WI are doing the right thing and dropping meds at collection boxes vs. flushing, but I'm sad that we are the #1 Wasters of pharmaceuticals!  I doubt waste reduction will ever be the topic of concern when it comes to medications, safety will always take top bill.

At lease our water is staying cleaner:)

Christine Miller
Recycling Coordinator
Outagamie County Recycling & Solid Waste
1419 Holland Rd Appleton, WI 54911

Follow us on FACEBOOK<https://www.facebook.com/OutagamieCountyRecycling/> Visit our WEBSITE<http://www.recyclemoreoutagamie.org/>
Download our MOBILE APP<https://play.google.com/store/apps/details?id=net.recollect.outagamiecountywi.waste>

From: Pharmwaste [mailto:pharmwaste-bounces at lists.dep.state.fl.us] On Behalf Of Ed Gottlieb
Sent: Friday, January 04, 2019 8:20 AM
To: pharmwaste at lists.dep.state.fl.us<mailto:pharmwaste at lists.dep.state.fl.us>
Subject: [Pharmwaste] Wisconsin has another take-back record

Way to go Wisconsin!

"Wisconsin collected a record-breaking 68,016 pounds of unused medications at drug disposal boxes and October Take Back events in 2018.

The state collected more unused medications than 48 other states, and only falling in second place to California.

Since 2015, Wisconsin has consistently been in the top three in the country, collecting and disposing of 469,785 lbs. of unused and unwanted medications."


Ed Gottlieb
Chair, Tompkins County Coalition for Safe Medication Disposal
Industrial Pretreatment Coordinator
Ithaca Area Wastewater Treatment Facility
525 3rd Street
Ithaca, NY  14850
(607) 273-8381<tel:(607)%20273-8381>

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