Embed Size (px)
Citation preview
La Crosse County Medication Collection Program
Jeff Gloyd Special Waste Manager
La Crosse County Hazardous Materials Program
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.
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
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………..
La Crosse County Medication Collection Program
Rules and Regulations:WI DNR: Relaxed regulations for
hazardous wasteDOT: Transportation issuesDEA: Controlled SubstancesWI Administrative Codes (WAC) NR
666 (VSQG Business Regulations).
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.
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:
1. Tablets/Capsules/Liquids2. Topicals, Powders, Transdermals3. Inhalation Aerosol Medication
Stored Non-Retrievable/Secured Hazardous Waste Incineration off site
• No medications are lost to the system
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
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.
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.
La Crosse County Medication Collection Program
Tracking: YTD 4125 lbs NET
Month Medication Wt.(lbs)
June 07 569
July 07 597
August 07 649
September 07 2310
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.
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.
La Crosse County Medication Collection Program
Summary Points:Big Problem with Easy SolutionLow Cost to participateBest Available Option…. Promotion
and Prevention.
