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15 March 2009 – Disposing Unused Medicines-Mostaph Elhwary
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DISPOSINGUNUSED
MEDICINES
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Among the lay people 1. Throwing in the trash
a. Homeless b. Pets c. Children
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2. Flushing in the Toilet
two thirds of drug waste (EPA 2006)
1 Billion $ unused drugs are flushed into the toilet
Neither is a GOOD
method
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Among the pharmacies1. Sending back to the distributers
2. In the trash
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Among the pharmaceutical companies Batch incineration
In the desertEgyptian ministry of healthSpecial incinerators
Illegal drug labsEcstasy and amphetamineChemicals usedHazards of waste dumped
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Among the hospitals More hazardous drugs AP: 250,000,000
pounds of drugs into sewer
Higher concentrations of antibiotic resistant bacteria
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Impact of improper disposal on the environment
1. Damage to Aquatic life Decreased reproduction Alteration in homing behavior Ex. Diazinon on Salmon fish
2. Antibiotic resistancestronger bacteria resist antibioticsHarms on human
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3. Waste water treatment plan (WWTP)Damage of beneficial bacteria
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Syringes and needles
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Syringe disposal WHO:
12 BILLION syringe a year in the world
Transmission of diseasesVirus CAIDS
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Disposing in the trash
1. Cleaners
2. homeless
3. Recycling
4. KOSHARY & yoghurt
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Solutions:
Needle clipper Needle burner
Retractable syringesSafety box
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Proper disposal of PPCPsWHO, FDA stated that:
1. Check the pharmacy for a take-back program NO TAKE BACK PROGRAM
2. Check the city or state for a disposal program NO DISPOSAL PROGRAM
3. Check the police station for disposal box NO DISPOSAL BOX
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Solid medication:Dissolve in water
Mix with tea or coffee
Double bag in a container
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Liquid medications:○ Marker or scratch○ Add a PUNGENT○ Add in container
Safe in the toilet (FDA)NarcoticsFentanylOxycodoneEntecavirStavudineacetaminophen
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Ampoules and vials:
○ Don’t open
○ Wrap
○ Pack in a container
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CONFERENCES HELD IN DRUG DISPOSAL 2007 Northeast water science forum,
Portland IWTC10 2006, Alexandria, Egypt Pharmaceutical waste reduction &
discharge issue, February 2004
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conclusion Don’t throw in the trash UNLESS….. Don’t flush in the toilet EXCEPT….. Hope for a take-back program in 20…. Spread awareness to others
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