3.4. What is Accumulating & How Do We Know? (Kreisberg)

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3.4. What is Accumulating & How Do We Know? (Kreisberg)

  1. 1. What is Accumulating& How do we know? <br />GreenPharmEdu.org<br />
  2. 2. 2009 Bay Area Pharmaceutical InventoryAn examination of what is returned to pharmaceutical take-back sitesFinal ReportDecember 1st, 2010<br />
  3. 3. Project Overview<br /> The project evaluates the quantities as well as the types of household pharmaceuticals disposed of, in the nine county San Francisco Bay Area in 2009 using current household take-back systems. <br />
  4. 4. Information Collected<br />The evaluation also recorded:<br />the number of take-back sites and events <br />the type of facility that hosts the sites <br />the type of take-back system used in each site<br />the number of pounds collected at each site<br />the type of waste hauling system used<br />the direct disposal costs<br />the method of paying for sites<br />the agency or organization that sponsors each program <br />
  5. 5. Take-Back Sites <br />Total Sites in the San Francisco Bay Area<br />126<br />Total Population of 9 County Bay Area Region<br />7.1 Million<br />
  6. 6. Total Collection and Costs <br />Total Pounds Collected in 2009 <br /> 65,676lbs<br />Total Costs for Disposal $119,133<br />Average Cost per Pound $ 1.99/lbs<br />Range of Costs per Pound $ 1.13-5.65/lbs<br />
  7. 7. Sites by County<br />
  8. 8. Location of Sites<br />
  9. 9. Agency Oversite<br />
  10. 10. Year Program Began<br />
  11. 11. Collection System<br />
  12. 12. Lbs Collected <br />
  13. 13. % of Pharmaceuticals<br />
  14. 14. Pounds Per Site<br />
  15. 15. Cost Per Pound <br />
  16. 16. Cost Per Pound <br />
  17. 17. Manual Pharmaceutical Counts<br />Samples of pharmaceutical waste were manually counted. <br />Information collected included:<br />Generic name<br />Original quantity of products <br />Amount left in containers unused<br />% packaging (estimated)<br />
  18. 18. Three Sample Locations<br />Palo Alto Regional Water Quality Control Plant <br />Leiter’s Pharmacy in San Jose<br />Contra Costa Sanitary District <br />Two one-month counts<br />
  19. 19. Inventory Size <br />
  20. 20. Total Items <br />
  21. 21.
  22. 22.
  23. 23.
  24. 24. Medications Returned by Sub-therapeutic Class<br /> Items %<br />Total Items 8,982<br />Unknown 808 9%<br />Total Therapeutic Identified 8,174 91%<br /> <br />Top Sub-therapeutic Class Therapeutic Class Items %<br />Analgesics CNS1,013 12.4%<br />Bronchodilators Respiratory 1,012 12.4%<br />Dermatological agents Topical440 5.4%<br />Cardiovascular agents NTA Cardiovascular318 3.9%<br />Antipsychotics Psychotherapeutic 314 3.8%<br />Anxiolytics, sedatives, and hypnotics Psychotherapeutic 290 3.5%<br />Antihistamine Respiratory 217 2.7%<br />Nasal preparations Topical192 2.3%<br />Vitamins Nutritional 175 2.1%<br />Antidepressants Psychotherapeutic 173 2.1%<br />Laxatives Gastrointestinal173 2.1%<br />Minerals and electrolytes Nutritional 171 2.1%<br />Respiratory agents NTA Respiratory 168 2.1%<br />Ophthalmic preparations Topical160 2% <br />
  25. 25. Most Common Medication<br />
  26. 26. Dosage Form <br />
  27. 27. OTC v RX<br />
  28. 28. Expired?<br />
  29. 29. Samples<br />
  30. 30. Packaging <br />
  31. 31. % Unused<br />

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