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Pharmaceutical Waste Management Rules, Issues, Options

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Pharmaceutical Waste Management Rules, Issues, Options Joanie Burns Wisconsin Department of Natural Resources Pharmaceutical Waste Management Issues and Barriers ... – PowerPoint PPT presentation

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Title: Pharmaceutical Waste Management Rules, Issues, Options


1
Pharmaceutical Waste Management Rules, Issues,
Options
  • Joanie Burns
  • Wisconsin Department of Natural Resources

2
Pharmaceutical Waste Management Issues and
Barriers
  • Unknowns/lack of conclusive research
  • Disposal methods and regulation
  • Controlled Substances
  • Identification
  • Drug Enforcement Administration requirements
  • Determination of legal waste generator
  • Pharmaceutical-like items
  • Convenience, Funding, Privacy
  • Safety

3
http//www.epa.gov/ppcp/pdf/drawing.pdf
4
Pharmaceutical Waste Management Sources in the
Environment
  • Disposal (flushing, pouring)
  • Metabolic excretion
  • Surface application (manure and biosolids)
  • Commercial/industrial

5
Pharmaceutical Waste Management Sources of
Pharmaceuticals in the Environment
6
Pharmaceutical Waste Management Receptors
  • Surface waters
  • Ground water
  • Aquatic organisms
  • You and me!

7
Pharmaceutical Waste Management Regulatory
Considerations
  • Solid and hazardous waste
  • Controlled substances
  • Infectious waste
  • Special forms of waste
  • Non-pharmaceutical healthcare items

8
Pharmaceutical Waste Management Solid and
Hazardous Waste
  • DNR Enforcement Discretion
  • Household vs. non-household
  • Coroners and Medical Examiners
  • Nursing homes
  • Schools
  • Legal waste generator
  • Record keeping and reporting

9
Pharmaceutical Waste Management Non-Hospital
Healthcare Facilities
Summary of DNR/DHFS Consensus on Regulation Summary of DNR/DHFS Consensus on Regulation
Nursing homes Business/non-household
Community-based residential facility (CBRF) Business/non-household
Residential care apartment complex (RCAC) Household Exception RCACs that purchase, store, distribute or otherwise centrally manage medications on behalf of tenants are considered businesses, regardless of the number of tenants/units.
Adult family home (AFH) Household
Hospice care In-patient business
Hospice care In-home household
Hospice care In-other-facility see above for each represented facility
10
Pharmaceutical Waste Management Controlled
Substances
  • Overall goal is to provide a closed distribution
    system
  • Diversion already occurs, in spite of all
    precautions
  • Goal provide an environmentally safe system to
    return unused pharmaceuticas, while minimizing
    diversion, abuse, accidental poisonings and
    overdosing
  • Best-case scenario all material sent for
    hazardous waste (HW) incineration
  • Real world non-controlled substances sent for
    HW incineration controlled substances taken into
    possession by law enforcement
  • What is law enforcement doing with it?

11
Pharmaceutical Waste Management
  • REGULATORY MEASURES
  • Taken, planned, proposed or desperately needed
  • Short-term fixes
  • Pending Universal Waste legislation
  • Greater attention to prescription monitoring
  • Evaluation of effluent limits and/or water
    quality standards
  • Controlled Substances

12
Pharmaceuticals In The Environment
  • ACTIONS
  • Outreach/information
  • Ongoing studies
  • Regulatory measures

13
Pharmaceuticals In The Environment
  • ACTIONS
  • Outreach/information
  • Ongoing studies
  • Regulatory measures

14
Pharmaceuticals In The Environment
  • ACTIONS
  • Outreach/information
  • Ongoing studies
  • Regulatory measures

15
Medicine Collection Days Database (SHWEC)
  • http//www4.uwm.edu//shwec/
  • ?Databases
  • ?Medicine Collection Days
  • http//www4.uwm.edu/shwec/pharmaceuticalCollection
    /viewRecords.cfm

16
(No Transcript)
17
  • Thank You
  • joan.burns_at_wisconsin.gov
  • http//www.dnr.state.wi.us/org/aw/wm/pharm/pharm.h
    tm
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