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PH:ARM (Pharmaceuticals from Households: A Return Mechanism) Washington State’s Medicine Return

PH:ARM (Pharmaceuticals from Households: A Return Mechanism) Washington State’s Medicine Return. Cheri Grasso King County Hazardous Waste Management 4 th Annual Unused Drug Return Conference Portland, Maine October 31, 2007. PH:ARM Team . Local Governments

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PH:ARM (Pharmaceuticals from Households: A Return Mechanism) Washington State’s Medicine Return

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  1. PH:ARM(Pharmaceuticals from Households: A Return Mechanism)Washington State’s Medicine Return Cheri Grasso King County Hazardous Waste Management 4th Annual Unused Drug Return Conference Portland, Maine October 31, 2007

  2. PH:ARM Team Local Governments King County Hazardous Waste Management Program Interagency Resource for Achieving Cooperation (IRAC) Public Health – Seattle & King County King County Department of Natural Resources and Parks Snohomish County Solid Waste Management Division State Agencies State Department of Ecology State Department of Social and Health Services State Board of Pharmacy Non Profits Northwest Product Stewardship Council Washington Citizens for Resource Conservation Pacific NW Pollution Prevention Resource Center (PPRC) Private Sector Group Health Cooperative Bartell Drugs

  3. PH:ARM Goals • Keep drugs out of the environment • Prevent drug diversion/ abuse • Prevent child poisonings • As easy to dispose as to buy medicine • Meet regulatory requirements • Create replicable model for others

  4. British Columbia’s program: a model • Since 1996 • Serves 4 million people • No fee to user • 856 pharmacies participating • 44,000 lbs annually • Total cost $257,000 in 2006

  5. Results of Survey • 74% want to properly dispose of their unwanted medicines if convenient • 80% would return their meds to a pharmacy -SoundStats Survey of King County, 2006

  6. PH:ARM Pilot Project • 25 Clinic pharmacy locations • 39 Retail pharmacy locations • 20 nursing homes • 2 years in length (ongoing) • Includes all pharmaceutical products* ______________________ *Initially we will not collect controlled substances, pending DEA agreement

  7. DEA Waiver Request Memo of Understanding • Clinical Pharmacy • Retail Pharmacy

  8. Strong Political Support U.S. Senator Maria Cantwell U.S. Senator Patty Murray Governor Christine Gregoire Attorney General Rob McKenna Secretary of Health Mary Selecky EPA Region X Administrator

  9. 1st Phase: Clinical Pharmacy • HMO in Washington State • 500,000 Customers; 25 pharmacies • Started Oct 2006 with 7 locations • 16 locations October 2007

  10. Group Health Container

  11. Results (thus far) of GHC Pilot Eleven clinics in 10 months • Little advertising • Not open to general public • Collected over 3,000 lbs • Estimate: 1.5 lbs a day per pharmacy site on average

  12. Next Phase: Retail Pharmacy • Bartell Drugs • 1 central warehouse • 39 locations • more returns likely

  13. Beyond the Pilot

  14. Financing • Funding: • $250,000 + grants • in-kind donations • Washington - 66,000 lbs/year

  15. Manufacturers in Canada Program

  16. Product Stewardship Is… • Shared environmental responsibility • Producers, sellers or users responsible for environ. impact

  17. Product Stewardship in BC • Pharm brand owners • Pharmacies • Consumers • Government

  18. Locations European Union Canada Japan South Korea Australia Products Batteries Electronics Pharmaceuticals Paint Product Stewardship in World

  19. Legislation • Producer responsibility bill • Manufacturer funded take backs

  20. Additional Information • Information about the Washington pilot: www.medicinereturn.com • Northwest Product Stewardship Council: www.productstewardship.net • Information about the BC program: http://www.medicationsreturn.ca/

  21. Contact Information Cheri Grasso Health and Environmental Investigator Local Hazardous Waste Management Program in King County 206-263-3089 Cheri.grasso@kingcounty.gov Will Perry Health and Environmental Investigator Seattle-King County Public Health 206-263-8477 William.perry@kingcounty.gov

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