La Crosse County Medication Collection Program

1. La Crosse County Medication Collection Program Jeff Gloyd Special Waste Manager La Crosse County Hazardous Materials Program

2. La Crosse County Medication Collection Program • Program Goal: • Develop a priority strategy for managing the disposal of expired, discontinued and unnecessary medications for La Crosse County residents, area residents, and qualifying area businesses.

3. La Crosse County Medication Collection Program • History: • 4/2003: Cty discussions to build HHW facility • 11/2003: HHW Facility opens: • Paint, Aerosols, Pesticides, Automotive Fuels, Acids, Base • 2004: NAHMMA “Best in Program” Award • 10/2004: Mobile Collection begins in La Crosse Cty • 5/2005: Program expands to other counties. • 6/2006: Program expands: E-Waste/Sharps • 1/2007: Regional expansion (#5 counties) • 6/2007: Medication “Take Back” Program begins. • 2008 Operational Plan: RX Collection to #10 Counties. Expanded Hours. • Future: Access: Mail Order and/or Kiosks

4. La Crosse County Medication Collection Program • The Problem: • Years of indiscriminate disposal through water and landfill systems. • Water filtration systems can not detect or filter. • Medications found in streams and lakes. • Probable environmental impact. • Longstanding problem………..

5. La Crosse County Medication Collection Program • Rules and Regulations: • WI DNR: Relaxed regulations for hazardous waste • DOT: Transportation issues • DEA: Controlled Substances • WI Administrative Codes (WAC) NR 666 (VSQG Business Regulations).

6. La Crosse County Medication Collection Program • Why it works: • Capacity to manage ALL expired, unused and unnecessary medications. • Offers best management practice for environment. • Meets intent of Resource Conservation and Recovery Ace 1976 (RCRA). • Meets EPA guidelines. • DEA License EXEMPT. • Supported by La Crosse Cty Law Enforcement (Deputized). • Facility Security/Alarm System (upgrade). • Expands/improves upon Federal guidelines. • Tracking and Reporting capacity.

7. La Crosse County Medication Collection Program • How it works……..the process. • Continuous and Permanent. • Very Small Quantity Generators • Tracking Method: Medication Wt and Zip Codes. • Simple Collection Process: • Tablets/Capsules/Liquids • Topicals, Powders, Transdermals • Inhalation Aerosol Medication • Stored Non-Retrievable/Secured • Hazardous Waste Incineration off site • No medications are lost to the system

8. La Crosse County Medication Collection Program • Cost to Participate: • La Crosse County Households: FREE • Business: $15.00 + $3.00/lb NET WT. • Comparisons: Nursing Home: #33lbs net/$110 Antibiotic Stockpile:Expired Doxycycline/Ciprofloxicin #2467lbs/$7000. Estimated Cost other vendors: 4X

9. La Crosse County Medication Collection Program • STATS: • 2007 Projected: • Number of participants: • 500 Households • 30 Businesses. • Actual YTD: • Number of Participants: • 350 Households. • 17 Businesses.

10. La Crosse County Medication Collection Program • Participants: • Disposal vendor for • Grant Cty: #1 day “clean sweep” collection. • 82 lbs medications • Others (Juneau County, Adams County, Dane County) • Pharmacy Closure (DEA Referral): Controlled Substance. • State Pandemic Stock Pile: expired Ciprofloxicin and Doxycycline. • Mobil Collections scheduled for Vernon and Monroe Cty’s. Fall 2007.

11. La Crosse County Medication Collection Program • Tracking: YTD 4125 lbs NET

12. La Crosse County Medication Collection Program • Marketing Program: • Brochures. • TV and Radio. • Newspapers. • Pharmacy Providers (electronic message on RX receipts). • Nursing Homes. • Regional and State (PSW, Coulee Region Pharmacists, State Bd of RX). • National Partners.

13. La Crosse County Medication Collection Program • Program Barriers: • Controlled vs. Non-Controlled. • Funding Sources: Grant opportunities. • Participation. • WI State Board “buy in”. • Community participation. • DNR, EPA, DEA support and consensus.

14. La Crosse County Medication Collection Program • Summary Points: • Big Problem with Easy Solution • Low Cost to participate • Best Available Option…. Promotion and Prevention.