Municipal #3 Difficult to manage - sharps meds
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Municipal #3 Difficult to manage - sharps meds

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    Municipal #3 Difficult to manage - sharps meds Municipal #3 Difficult to manage - sharps meds Presentation Transcript

    • Franklin County Solid Waste District Hard-to-Manage Wastes: Sharps and Unwanted Medications March 2011
    • Franklin County Solid Waste Management District Sharps Collection Program
      • 22 rural towns in western Mass.
      • Pop. 49,700 over 500 sq. miles
      • Pop. 67,800 with Greenfield 
      • Sharps = needles, syringes, & lancets
      • Home use of sharps for diabetes, arthritis, cancer, dialysis, fertility, hepatitis C, pets
    • Franklin County Solid Waste Management District Sharps Collection Program
      • 7% of population are diabetics; 20 million in U.S. 
      • 8.7% of non-Hispanic whites
      • 13.3% of non-Hispanic blacks
      • 9.5% of Hispanic/Latino population
      • 2% of pets with diabetes
      • Source: National Diabetes Information Clearinghouse 2005
    • Franklin County Solid Waste Management District Sharps Collection Program
      • R.I. survey found that 94% of home sharps users place them loose in the trash; 4% flush them down the toilet!
      • Needles easily penetrate thick leather gloves.
      • If sharps go into the trash, loose or in a container solid waste workers can get “stuck” and possibly contract hepatitis and/or HIV. Testing is expensive. Emotional anxiety for worker.
    • Franklin County Solid Waste Management District Sharps Collection Program
      • Container explodes if packer blade hits it. Other problem is that it doesn’t truly eliminate the safety concerns for solid waste or recycling workers.
      • Sometimes the plastic or metal container makes its way into the recycling system. MRFs regularly see sharps on the conveyor. Springfield (MA) MRF shuts down conveyor weekly because of loose sharps. Danger of workers getting “stuck.”
    • Franklin County Solid Waste Management District Sharps Collection Program
      • MA DPH regulations 105 CMR 480.00
      • http://www.lawlib.state.ma.us/source/mass/cmr/cmrtext/105CMR480.pdf
      • Disposal ban: 7/1/12
      • Collection sites: medical facilities, pharmacies, public buildings
      • Mail back program
    • Franklin County Solid Waste Management District Sharps Collection Program
      • FCSWMD started collection in May 2002
      • FCSWMD provides free 1 gallon, 1 quart, and travel case sharps containers
      • 9 collection sites: 1 town hall, 3 town nurses, 2 Board of Health offices, 2 doctors’ offices, District office
      • Contract with Stericycle for collection of sharps 2-3 times/year from each site.
    • Franklin County Solid Waste Management District Sharps Collection Program
      • Each site tracks the number and size of containers brought in and handed out (Residents can use any combination of sites.)
      • Each site has empty sharps boxes
      • Each site has either 2.5 or 4.5 cubic foot cardboard boxes with a red bag liner from Stericycle
    • Franklin County Solid Waste Management District Sharps Collection Program
      • Safe Handling Protocol:
        • Bloodborne Pathogen Training
        • Use nitrile gloves or ask resident to drop into Stericycle box or use a plastic bag and drop into Stericycle box
        • Wash hands with warm water and soap for 15 seconds after each interaction
        • Report to emergency room if stuck and bring needle
    • Franklin County Solid Waste Management District Sharps Collection Program
      • Work with diabetes educator at local hospital
      • Sharps boxes and info to home health care, visiting nurses, hospice, community health program, school nurses, shut-in program through county sheriff
      • Letter to doctors’ offices, vets, pharmacies
    • Franklin County Solid Waste Management District Sharps Collection Program
      • Purchase 1 gallon Devon sharps boxes from DHP Home Delivery for $4.20 each (www.dhphomedelivery.com 888-744-7347)
      • Purchase 1 quart sharps boxes from Bio-Haz Solutions for $2.40 each (www.biohaz.com
      • 888-794-7894)
      • Purchase travel case from Safety Works for $1.25 each; 200 units minimum (914-698-3631)
      • Use Stericycle on MA State Contract for $50-$60 per box depending on frequency of pick up
    • Franklin County Solid Waste Management District Sharps Collection Program
      • FY04: $600 for boxes; $800 for collection
      • FY05: $1400 for boxes; $1700 for collection
      • FY06: $1500 for boxes; $1800 for collection
      • FY07: $2000 for boxes; $2200 for collection
      • FY08: $3800 for boxes; $2650 for collection
      • FY09: $3700 for boxes; $2700 for collection
      • FY10: $3000 for boxes; $4000 for collection
      • Approx. 600 gallon & 200 quart boxes
    • Franklin County Solid Waste Management District Unwanted Medication Collection Program
      • FCSWMD pilot meds collections in 2004-2005
      • Collections at senior center, HHW collection
      • Regs: US Drug Enforcement Agency (DEA), MA Dept. of Public Health
    • Franklin County Solid Waste Management District Unwanted Medication Collection Program
      • Ideal collection location is a police department: allows for collection of controlled substances.
      • 2010 US legislation called Secure & Responsible Drug Disposal Act
        • DEA writing new regulations to allow patients, family, and long-term care facilities to dispose of all unwanted medications
    • Franklin County Solid Waste Management District Unwanted Medication Collection Program
      • DEA held a free meds collection in September 2010
        • Collected 121 tons of meds at 4,100 sites in US
      • Next free DEA sponsored collection is April 30 th from 10 am – 2 pm
      • http://www.deadiversion.usdoj.gov/drug_disposal/takeback/index.html
    • Franklin County Solid Waste Management District Unwanted Medication Collection Program
      • For a permanent collection consider end disposal facility for MSW. If it’s a licensed DEA facility it might be most cost effective to have residents dispose of meds in the trash.
      • South Hadley just set up a permanent collection at their police department
    • Franklin County Solid Waste Management District Unwanted Medication Collection Program
      • Lots of information on collection models from west coast, Northeast Recycling Council (www.nerc.org) and
      • Product Stewardship Council (www.productstewardship.us)
    • Franklin County Solid Waste Management District Collection Programs
      • Contact: Jan Ameen, Executive Director 413-772-2438, fcswmd@crocker.com
      • www.franklincountywastedistrict.org