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Sharps/Needles Informational Webinar
Thursday, October 8, 2015www.hhwtc.org
Household Hazardous Waste Technical Council Presents:
About the HHW Technical Council
CRRA’s HHW Technical Council is composed of household hazardous waste professionals who are responsible to safely and cost effectively manage HHW. The Technical Council provides a forum for discussion and sharing of information about universal and hazardous waste management. Participation in the HHW TC is open to both CRRA
members and non‐members.
Visit www.hhwtc.org to learn more about the Technical Council and the benefits of CRRA membership.
Today’s PanelChristine Flowers, California Product Stewardship Council,
Facilitator
Patti Toews, County of San Luis ObispoSan Luis Obispo County’s Take‐Back Ordinance Update
Tim Goncharoff, County of Santa CruzSanta Cruz County’s Take‐Back Ordinance Update
Mark Wilson, Community Pharmacist Hornsynder PharmacySanta Cruz Retail Partner Perspective
John Gordon & Youth Commissioner Andrew Klotz, Galt Youth CommissionGalt Youth Commission Action: Community Needle Disposal
Tom Erickson, Sharps Consultant and Former CEO UltimedOverview of Sharps, Manufacturers, Pharmacies and Successful Disposal Programs
Presented byPatti Toews Program Director
SLO County IWMA
Pharmacy Take-Back Program for Sharps
San Luis Obispo County
SLO County IWMA Background JPA formed in 1994 to meet the requirements of AB 939
Includes 7 cities, 8 Special Districts, and the County
We report to 13 elected board members
What's the Problem? SB 1305 –Made it illegal to throw sharps into the
garbage
Public confused? Inconvenient disposal sites… Needles found on recycling sorting lines spike.
Take-Back Program Background Passed a mandatory take back ordinance
46 take back locations
Pharmacies pay disposal costs
Why Pharmacy Take-Back?
Location
Hours of operation
Training
Marketing
Three Take Back Scenarios
If you sold sharps to a consumer must take them back.
If you are selling sharps to a consumer must take them back.
If the consumer lives in San Luis Obispo County, must take back up to two 1 quart sharps containers per week.
Program EquipmentApplied for and received a $296,300 grant from California Integrated Waste Management Board.
Pharmacy’s Role
Dispense
Collect
Call for Disposal
IWMA’s Role Conducted initial set-up and training
Schedule pick-ups - Google Docs
Invoice pharmacies
On-going program monitoring
Collection Contractor’s Role Log into Google Docs to see collection locations.
Visit pharmacies and swap 38 gallon containers
Give pharmacies receipt
Collection Receipt
• Driver fills out receipt• Pharmacy staff sign• Copy given to pharmacy
Enforcement
• Through civil action for civil penalties and injunctive relief
• District attorney and city attorneys may enforce criminally as misdemeanors
• Cities, County and Districts may enforce through existing enforcement procedures
Results
Increase Convenience – 5 to 46 drop-off locations
Increase hours of operations – 4 hours once a week up to 24 hours seven days a week.
Diverting over a million sharps per year with zero advertising
For Additional InformationPatti Toews
Program DirectorSan Luis Obispo County Integrated Waste Management
Authority(805) 782-8530
[email protected](s): www.iwma.com
Tim Goncharoff
Santa Cruz County, California
Medicines self-serve drop box
inWalgreenspharmacy waiting
area
Program in operation since
2008
Take-Back Sites
• Sharps only• Drugs and Sharps
Public Outreach
Brochureavailable in English
& Spanish
Public Outreach
Counter brochure display
Prohibited items in
medicines collection
boxPublic Outreach
Bins for drug disposal are in place at all local police departments and sheriff stations. Law enforcement agencies can accept controlled substances.
Law Enforcement Agencies
Retail Take-Back Site
Local pharmacy
Retail Take-Back Site
Chain Pharmacy
Retail Take-Back Site
Chain pharmacy - Walgreens
Medicines self-serve drop box
inpharmacy waiting
area
2014 Sharps Disposal Ordinance
2015: Producer Responsibility
Safe Drug and Sharps Disposal
• Drugs AND Sharps• No convenience zones. ALL sellers must participate.• Bins required at all pharmacies & public health facilities.• Sharps disposal containers required with all sales.• County can require public sharps bins. • Stewardship organization responsible for ALL costs as of
effective date of program. • Outreach and education program required.• Administrative fees assessed.
Next Steps
• Stakeholder meeting October 8, 3-5pm• Draft Ordinance to Board November 3• Public Hearing December 8 (tentative)• Ordinance takes effect June 1, 2016• Working with local cities• Draft ordinance available at
www.santacruzcountyrecycles.org
Tim GoncharoffCounty of Santa Cruz
Public Works Department701 Ocean St., Rm. 410Santa Cruz, CA 95060
(831) [email protected]
Drugs and Sharps TakebackThe Pharmacist’s Perspective
Mark WilsonHorsnyder and Westside Pharmacies, Santa Cruz, CA
RetailTake-Back
Site
Chain pharmacy —Walgreens
Sharps bio-hazard collection barrel in
pharmacy stock room
BearSaver kiosk by Securr
Outdoor capable
Sharps Collection Box
Single-door Take Back Express by dVault Companies
Dual-key system option
Pharms Collection Box
RetailTake-Back
Site
Horsnyder’s Pharmacy
Sharps container offerings
Availability ofApproved SharpsContainers
All participating sharps take-back sites must stock sharps containers for sale.
Free containers are available at diabetes education centers and HHW sites, and periodically at selected pharmacies and promotional events.
Lessons Learned
OUR STORY
John GordonAdult Mentor
Andrew KlotzYouth Commissioner
Where is Galt?
• Sacramento County
• Population: 24,817
• 42% of residents are Hispanic/Latino
• 19.5% live in poverty
• Known for the Galt Flea Market
Galt Youth Commission10 Youth/5 Adult Mentors l Represent Youth on Teen Issues l New Focus on Community
Annual Retreat Results in Call to ActionJuly 2014 l Retreat Purpose Set Direction for GYC l Toured the Materials Recovery Facility
One Question That Changed Everything…
What was the weirdest thing you’ve seen come down the line?
What was the weirdest thing you’ve seen come down the line?
What was the weirdest thing you’ve seen come down the line?
Our Research – Identifying a ProblemLightbulb Moment l Understanding the Impacts l Recognizing the Challenges
Source: CPSC
Our Research – A Regional Scan Field Trip to Sacramento l Elk Grove’s Approach l Partnership with the California Product Stewardship Council
Sharps Disposal Take-Back ProposalMarch 2015: Presented to Galt City Council l Articulated Issue AND Solution l Council’s Response
Next Steps…
• August 3, 2015: City Council Directed Ordinance Language
• October 6, 2015: First Reading of the Proposed Ordinance
• November/December 2015: Formal Adoption of Sharps Take Back Program
Overview of Sharps, Manufacturers, Pharmacies and Successful Disposal
Programs
TOM ERICKSON
FORMER CEO OF ULTIMED/SHARPS DISPOSAL CONSULTANT
Overview1- Introduction
2- Types of Sharps Sold by Pharmacies
3- Syringe and Pen Needle Manufacturers4- Pharmacies
5- Effective Existing Programs
6- Two Attributes of All Successful Programs7- Ultimed’s Position
Types of Sharps Sold by Pharmacies
Insulin Syringes
Pen Needles
Pen needle attached to Pen Injector
Lancets
Sharps Manufacturers
•Becton Dickinson (BD) www.bd.com• BD is the largest manufacturer of insulin syringes and pen needles in the world• BD has over 80% market share in the US. They are based in Franklin Lakes, NJ• BD typically promotes education programs and use of their needle clipping device, called BD
Safe-Clip
•UltiMed, Inc. www.ulticare.com• UltiMed is based in Excelsior, MN and manufactures UltiCare syringes and pen needles• Supplies a sharps container with each box purchase of syringes or pen needles
•Novo Nordisk www.novonordisk.com• Novo Nordisk is a large pharmaceutical company headquartered in Denmark• They do sell pen needles in the U.S. market which are manufactured for them by a Japanese
company. Pen needles are only a very small part of their overall business
•Various Importers
Pharmacies
•Independents and Small Chains• Generally receptive to ideas on pharmacy take-back
•Large Chains• Generally resist the concept of pharmacy take-back
•Mail Order and Internet Pharmacies• It is not practical for mail order and internet pharmacies to do direct
take-back
Effective Existing Programs (more than 15 years in operation)
Sioux Falls, SD
• Program started as a partnership between Lewis Drug and the City of Sioux Falls• Sioux Falls pays for sharps containers and disposal, Lewis Drug operates the program
• Competitive pressures motivated Walgreens and HyVee to join• Quantitative measures of success:
• Count of sharps containers issued and returned full - Estimated 90% Success!• Landfill audits, best in the U.S.
For more information: http://www.siouxfalls.org/public-works/environmental-recycling-hazardous/green/recycling/needles.aspx
Effective Existing Programs …..continuedCanada (Except Quebec)
• Competition for diabetic customers drove the free sharps take-back program• Pharmacies pay for both the sharps containers and disposal. No public funds• Quebec recently discontinued free sharps containers.
• Result: large increase in needle sticks this year at Quebec’s MIRFs.
For more information: Shoppers Drug Mart (SDM)http://diabetes.shoppersdrugmart.ca/pharmacy-services/shoppers-drug-mart-sharps-disposal-program.php
Stericycle Canada Steri-Pachttp://www.stericycle.ca/ca-steri-pack.html
Two Attributes of All Successful Programs
1. Free sharps containers2. Convenient free disposal collection points
Ultimed’s Position
• Free sharps containers are the most essential ingredient for any successful program to work effectively
• The cost of the sharps container is usually the most expensive component of a sharps disposal program
• Sharps manufacturers should supply the sharps containers as their contribution to any EPR program
Questions?
Send topic suggestions for the Spring 2016 Webinar via email to:
Alana Rivadeneyra [email protected]
Christine Flowers [email protected]
http://hhwtc.org/
