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Pharmaceuticals from Households:
A Return Mechanism
Who is PH:ARM ?
• Snohomish County Solid Waste Management Division • Local Hazardous Waste Management Program in King County • Public Health / Seattle & King County• Northwest Product Stewardship Council• Washington Citizens for Resource Conservation• Pacific Northwest Pollution Prevention Resource Center• Washington State Department of Ecology• Washington State Department of Social and Health Services • Washington State Board of Pharmacy
• Group Health Cooperative• Bartell Drugs
(Interest from many others, including pharmacies)
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Basic Tenets for Success
• Safe and secure system (secure collection, transport, destruction)
• Low-cost and financially sustainable
• Effective (high volume recovered) – Easily accessible & user friendly– Ongoing and widely available
• Government regulates and oversees the on-going program but does not fund and manage it. This should be left to the private sector.
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Meeting the Public’s Needs• It should be as easy to properly dispose of medications as it is
to purchase them.
• Public comfort with solution is key to success.
• January 2006 SoundStats Survey showed that:
• 74% of respondents said that they would be willing or very willing to properly dispose of unwanted medicines if a convenient location is offered.
• 84% of respondents indicated a local pharmacy would be the most convenient location to dispose of unused or expired medicines.
• 4% said they would be willing to use sheriff or police office, 5% said special collection event, 2% said public hazardous waste facility.
Source: SoundStats Survey of King County Households (2006, WCRC)
British Columbia Pharmaceutical Take Back
Over 850 Retail Pharmacies Voluntarily Participate
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MRW Facilities = 54 locations
Pharmacy Locations = 1,300 locations
The Take it Back Network
The Take it Back Network
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PH:ARM Pilot and Transition Program
• Began November 2006.• Initially launched with 7 Group Health locations.
Expanded to 24.• Initial launch at several Bartell Drug Pharmacies in
2008. Could expand to 54.• Address adult care and others locations later in
2008.• Pilot to run for 2 years then transition from
government and NGO grant funding.• Work toward state-wide product stewardship system.• Work to resolve DEA and other reg issues.
First Prototype: Metal Drop Box
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PH:ARM Pilot: DestructionGroup Health Clinic: Renton
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Secure Effective Take-back
29 Collection Sites
> 10,000 pounds
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Double Locked Container Can Only be Opened with Two People
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Bucket Closed with Lock Lid Under Double Witness
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Each Bucket Has Unique Tracking Number and Security Tag
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Each Bucket Is Carefully Tracked
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Buckets are Returned to Pharmacy Distribution Center, Recorded, and Placed
in Locked Cage
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When Enough Buckets Have Accumulated, They Will Be Picked-up For Secure,
Witnessed Destruction
Media Coverage
The Seattle Post-Intelligencer:“Curing the Problem of Discarding Pills”2/1/2007
The Herald:“Soon less trash may go into landfill”2/6/2007
The Washington Post:“New Tricks for old drugs”3/13/2007
USA Today:“Close the Lid On Old Medicine”4/22/2007
The Spokesman review:“Pharmacy Disposal Sites established”4/22/2007
King TV:“Drug Take Back Program Protects Streams and Fish”3/2/2007
KHQ TV:“Flushing Old Medicines is No Longer the Most Sound Advice”3/2/2007
Northwest Cable News:“Drug Take Back Program Protects Streams and Fish”3/2/2007
KOMO AM 1000:“Flushing Old Medicines Not the Best Option”3/2/2007
KUOW:“Group Health Creates Pilot Program for Disposing Old Medication”3/5/2007
Green Daily:“Get these Prescription Drugs to the Incinerator!”1/28/2008
DiseaseProof.com:“Old Drugs, Where to Stick Them”1/23/2008
Metroblogging Seattle:“Safely Dispose of Those Old Prescriptions”1/22/2008
Growing and Irrepressible Demand
Compliance is High – 97%
Data Collection
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Group Health Decal
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Bartell and Group Health Fliers
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Bartell Drugs Flier and Poster
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For more information
www.medicinereturn.com
Sego Jackson – Snohomish County