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Presentation transcript:

Thank you to our sponsors! Platinum Gold National Association of Clean Water Agencies Waste Treatment Division, King County, WA San Francisco, CA – Department of the Environment San Benito County Integrated Waste Management Hazardous Waste Management Programs, King County, WA Idaho Department of Environmental Quality King County Solid Waste, WA Los Angeles County Sanitation Districts, CA Minnesota Pollution Control California Integrated Waste Management Board Silver Santa Monica, CA Snohomish County Solid Waste District, WA City of Palo Alto, CA Environmental Compliance City of Palo Alto, CA Central Vermont Solid Waste Management City of Santa Rosa, CA Central Contra Costa Sanitary District, CA Veolia ES MedServe

Discussion Slides: Afternoon of June 19 Sacramento, CA June 19-20, 2008

Issue/Strategy Discussions Background technical information Clarify issues and strategies Clarify positions Consider and prioritize strategies Workgroups at end of 2nd day - top 2 strategies

Source Reduction Leftover medicines occur for a variety of reasons Expire Patient no longer needs Patient no longer chooses to use Patient is no longer able to use Logical starting point for considering solutions

Source Reduction: Strategies for Discussion a) Modify prescribing practices to avoid excess (samples to try, small initial doses, ID potential allergies/drug interactions up front) b) Educate consumers about taking all medications as prescribed c) Modify reimbursement formulas and sales that currently encourage physicians to prescribe larger doses to reach thresholds for coverage 5

Thank you to our sponsors! Platinum Gold National Association of Clean Water Agencies Waste Treatment Division, King County, WA San Francisco, CA – Department of the Environment San Benito County Integrated Waste Management Hazardous Waste Management Programs, King County, WA Idaho Department of Environmental Quality King County Solid Waste, WA Los Angeles County Sanitation Districts, CA Minnesota Pollution Control California Integrated Waste Management Board Silver Santa Monica, CA Snohomish County Solid Waste District, WA City of Palo Alto, CA Environmental Compliance City of Palo Alto, CA Central Vermont Solid Waste Management City of Santa Rosa, CA Central Contra Costa Sanitary District, CA Veolia ES MedServe

Options for Disposal: Strategies for Discussion Develop consensus on best management practices for safe disposal from the home (either long-term or interim) Develop best practices for collection locations, including ultimate disposal Identify existing or develop demonstration programs to collect data on the relative costs, logistics, and performance of mail-back and/or collection through various location. 7

Options for Disposal: Strategies for Discussion Develop unified and consistent messaging regarding the safe and environmentally sound disposal of waste pharmaceuticals. Evaluate performance of existing and potential future collection programs. 8