Agenda Item Purpose

California Integrated Waste Management Board

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Consideration of Model Programs and Procedures for the Collection and Proper Disposal of Pharmaceutical Waste As Required by Public Resources Sections 47102-47126 and Discussion of Management of Sharps


Agenda Item Purpose

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• Update the Board on Implementation of SB 1305

• Approve Criteria and Procedures for Model Pharmaceutical Waste Collection and Disposal Programs


SB 1305

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SB 1305

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Enacted into Law in 2006

Concerns from the Solid Waste Management and Hospitality Workers re: Needle Sticks at MRFs, Recycling Centers, Landfills, Trash Cans


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Sharps Generation

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U.S. - 3 Billion Home-Generated Sharps Generated

California – Approximately 300 Million


SB 1305 Requirements

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• Amended MWMA to Define Home-Generated Sharps

•Illegal to Dispose of “Home-Generated” Sharps in Trash, Recycling, or Green Waste Containers

•Can Only be Transported in Containers Approved by CDPH or the LEA.


Where Can Sharps Be Disposed?

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• HHW Facilities

• Medical Waste Generator Facilities

• Home-Generated Sharps Consolidation Points • Medical Waste Mail-Back Containers


SB 1305 Implementation Strategy

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• Educate Local Government Staff About the Law

• Develop Educational Materials & Disseminate

• Develop a Searchable Web Based Data Base

• Increase the Number of Collection Locations by Soliciting Pharmacies



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• Work with the California Diabetes Educators and Chronic Disease Organizations

• Work with LEAs Re: How to Handle Sharps Found at Landfills, Recycling Centers, or MRFs



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• Meet with Retailers Re: Corporate Retail Take Back Programs

•Work with PSI and CPSC to Implement EPR Programs

•Work with Hospitals, Clinics, and Medical Organizations to Become Collection Locations

• Research and Facilitate the Use of Source Reduction Devices


Accomplishments

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• 3 Stakeholder Meetings

• Sharps Web Page

• HHWIE Meetings Sharps

• Searchable Database


Accomplishments

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• Developed Educational Materials

• Sent Out Materials to 6,000 Pharmacies

• List Serv – 400 Contacts


Ongoing Sharps Issues

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• Business and Professions Code

• Lack of Continuous Funding in Some Areas

•Lack of Retail Pharmacies Making It a Corporate Policy to Collect Sharps

•Lack of Knowledge About the New Law by Self-Injectors and Home-Health Care Providers


Ongoing Issues

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• Lack of Any Type of Enforcement Power Re: Throwing in the Trash

• Lack of Program Consistency from Jurisdiction to Jurisdiction

•No Requirement on Mfrs. Or Retailers to Take Back Sharps Except in SLO.


Questions?

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SB 966Procedures for Model Pharmaceutical Waste Collection Programs

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SB 966

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• Enacted in 2007

•Due to Pharmaceuticals Entering Waterways and Drinking Water


SB 966 Requirements

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Requires the Board to:

• Evaluate Other State, Local, and Other Governmental Entity Programs

• Develop Model Programs for the Collection and Proper Disposal of Drug Waste.


SB 966 Requirements

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Requires the Board to:

• Establish Criteria and Procedures for the Implementation of Model Programs.

• Make the Model Programs Available No Later Than December 1, 2008.

•Submit a Report to the Legislature on Drug Take Back Programs and the Potential Implementation of a Statewide Program by 2010


Criteria for Model Programs

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1. Operate at No Cost to the Consumer for the Safe Take Back and Disposal

2. Protect the Public Health and Safety & Environment

3. Protect the Health and Safety of Consumers


Criteria for Model Programs

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4. Provide for Reporting to the Board

5. Protect Against Diversion of Drug Waste

6. Provide Educational Materials for Consumers


Plan to Implement SB 966

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• Developed and Met With Working Group

• Conducted Stakeholder Meetings - 3

• Spoke at HHWIEs and WSPPN Meetings

• Gathered Info via Survey & Internet

• Developed Criteria and Procedures


Plan to Implement SB 966 (cont.)

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• Sent out Criteria and Procedures for Comments

• Held Stakeholder Workshop

• Submitted to the Board for Comments and Approval


Take Back Program Survey

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Surveyed Programs in CA and in Other States.

Received 23 Completed Surveys & 4 from Out of State.

Most Collect at HHW Facilities


Take Back Program Survey (cont.)

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• Collect at Police Stations, Pharmacies, Public Facilities, and by Mail Back Programs.

•Attachment 2 Summarizes How the Surveyed Programs Meet the SB 966 Criteria.


Proposed Criteria and Procedures for Collection of

Drug Waste

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Proposed Criteria and Procedures for Collection of Drug Waste

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•Written to Comply With Statute •Assist Organizations or Local Govt in Developing Collection Programs.



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Developed from:

• Statutory Requirements • Completed Surveys

• Working Group Input

• Stakeholder Comments


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Sections

(I) Permanent Collection and Disposal Programs

(II) Government-Sponsored One Time or Periodic Collection Events

(III) Pharmaceutical Waste Collection and Disposal Programs Through a Mail Back Program



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• What Can be Collected• Controlled Substances• How to Collect Pharmaceuticals• Security• Signage • Data Collection• Education


Proposed Criteria and Procedures for Collection of Drug Waste (cont.)

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• Logistics• Govt. Authorization – Permits• Budget• Advertising• Equipment• Staffing


Dissemination of the Procedures

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Dissemination of the Procedures

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• Post on the Board’s Sharps and Pharma Listserv

• Post on the National Listserv

• Provided to Local Govts. and HHW Programs


Ongoing Issues Re: Pharms

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Ongoing Issues Re: Pharms

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• The Business and Professions Code (B&P Code)

•Collection of Controlled Substances and Illegal Drug Diversion

• Ongoing Funding

• Places a Burden on Locals to Collect Pharms

• Not Eligible for HHW grant funds.


Ongoing Issues Re: Pharmas

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• No Take Back Policies Regarding Mfrs. AndRetailers

•Insufficient Funding for Education and Outreach


Questions?

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Agenda Item Purpose

Documents

Transcript of Agenda Item Purpose