drug (r x & otc) disposal programs solid waste management coordinating board 5/30/2012

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DRUG (R X & OTC) DISPOSAL PROGRAMS Solid Waste Management Coordinating Board 5/30/2012

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Page 1: DRUG (R X & OTC) DISPOSAL PROGRAMS Solid Waste Management Coordinating Board 5/30/2012

DRUG (RX & OTC)

DISPOSAL PROGRAMS

Solid Waste Management Coordinating Board

5/30/2012

Page 2: DRUG (R X & OTC) DISPOSAL PROGRAMS Solid Waste Management Coordinating Board 5/30/2012

Outline

1. Background of the problem

2. Disposal programs in MN

3. Strategy for the Great Lakes region (IL, IN, MI, MN, NY, OH, PA, WI)

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Page 3: DRUG (R X & OTC) DISPOSAL PROGRAMS Solid Waste Management Coordinating Board 5/30/2012

Rx Drug Abuse3

In 2008, 20,000 people died from Rx drug overdoses in U.S. 15,000 of these from Rx painkillers such as

oxycodone, hydrocodone, and methadone

Rx drug overdoses kill more Minnesotans than traffic deaths

Majority who misused Rx drugs obtained from a friend or relative.

Page 4: DRUG (R X & OTC) DISPOSAL PROGRAMS Solid Waste Management Coordinating Board 5/30/2012

Environmental Concerns4

Neither flushing nor landfilling are OK Pharmaceuticals are not removed by waste

water treatment Trace concentrations found in

water Adverse affects to fish and other

aquatic wildlife; unintentional human exposure

Page 5: DRUG (R X & OTC) DISPOSAL PROGRAMS Solid Waste Management Coordinating Board 5/30/2012

Federal Legislation5

The Secure and Responsible Drug Disposal Act of 2010. Amends the Controlled Substances

Act New rule expected to provide safe

& convenient drug disposal

Proposed law to establish pharmaceutical stewardship involving manufacturers

Page 6: DRUG (R X & OTC) DISPOSAL PROGRAMS Solid Waste Management Coordinating Board 5/30/2012

Minnesota Milestones6

2009: MN legislation allows law enforcement & counties to possess controlled substances.

2010: MPCA Program Management Decision allows solid waste management facilities to incinerate household pharmaceuticals.

Page 7: DRUG (R X & OTC) DISPOSAL PROGRAMS Solid Waste Management Coordinating Board 5/30/2012

Programs at law enforcement sites

48 counties Anoka: 3 Carver: 1 Dakota: 3, going

to 11 Hennepin: 3 Ramsey: 2 Washington: 1

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Statewide: 89 + sites SWMCB region: 13 +

Page 8: DRUG (R X & OTC) DISPOSAL PROGRAMS Solid Waste Management Coordinating Board 5/30/2012

Retail Pharmacies8

Pharmacies in Bloomington, Brooklyn Center, Minneapolis, St. Louis Park and Sartell

Cannot accept controlled substances at this time

Page 9: DRUG (R X & OTC) DISPOSAL PROGRAMS Solid Waste Management Coordinating Board 5/30/2012

Strategy for Great Lakes Region“Key Elements of Pharmaceutical Collection and Disposal Programs: A Vision for the Great Lakes Region”

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Page 10: DRUG (R X & OTC) DISPOSAL PROGRAMS Solid Waste Management Coordinating Board 5/30/2012

Strategy for Great Lakes Region

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Programs should . . . Protect public health and the environmentMinimize the impact on the environment

Page 11: DRUG (R X & OTC) DISPOSAL PROGRAMS Solid Waste Management Coordinating Board 5/30/2012

Strategy for Great Lakes Region

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Programs should . . . Be sustainably and adequately fundedIdentify and address the underlying drivers that contribute to pharmaceutical waste

Page 12: DRUG (R X & OTC) DISPOSAL PROGRAMS Solid Waste Management Coordinating Board 5/30/2012

Conclusion12

Strategy for the Great Lakes Region is consistent with . . . 2011-2030 SWMCB Regional Solid

Waste Master Plan. MPCA Metropolitan Solid Waste

Management Policy Plan 2010-2030. NACo’s resolution in Support of a Safe,

Convenient Medicine Return Program.

Page 13: DRUG (R X & OTC) DISPOSAL PROGRAMS Solid Waste Management Coordinating Board 5/30/2012

Conclusion13

Rx drug abuse is a widespread problem. Improper drug disposal poses risks to

human and environmental health. MN drug disposal sites are increasing.

SWMCB should evaluate and consider endorsing the same strategy as the Great Lakes Region.