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IDAHO RURAL PARTNERSHIP BOARD MEETING THURSDAY, JANUARY 7, 2010

IDAHO RURAL PARTNERSHIP BOARD MEETING THURSDAY, JANUARY 7, 2010. Why are Unused/Expired Prescriptions and Over-the-Counter Medications a Concern?. Health Consequences

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IDAHO RURAL PARTNERSHIP BOARD MEETING THURSDAY, JANUARY 7, 2010

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  1. IDAHO RURAL PARTNERSHIP BOARD MEETING THURSDAY, JANUARY 7, 2010

  2. Why are Unused/Expired Prescriptions and Over-the-Counter Medications a Concern? Health Consequences Prescription Drug overdose due to non-medical use is now the second leading cause of accidental death in the U.S. behind only car crashes. In some States it has risen above car crashes. Admissions to substance abuse centers doubled for abuse of pain relievers is yet another clear indication of the growing scope of the problem. LOST LIVES Economic Impact Per-patient health care costs of opioid abusers are estimated at $15,884 per year, compared with only $1,830 for non-abusers. “PRESCRIPTION FOR PERIL 2007”How Insurance Fraud Finances Theft and Abuse of Addictive Prescription Drugs” estimates that drug diversion costs all U.S. insurers about $72.5 billion each year. LOST RESOURCES CRIMINAL ACTIVITY Law enforcement estimates range from 60% to 80% of the enforcement cases involve substance abuse.Where you find drug abuse you will find crime! LOST SAFETY

  3. Teens Rx Drugs of Choice for Abuse

  4. WHERE DO ABUSERS GET PRESCRIPTION PAINKILLERS? Methods/sources in order of most common to least common: • QUESTIONS: • One doctor • “Street drug” dealer • Internet • Bought or stole from someone they know • Obtained for free from someone they know • More than one doctor • ANSWERS: • Obtained free from someone they know (56%) • One doctor (20%) • Bought or stole from someone they know (15%) • “Street drug” dealer (4%) • More than one doctor (2%) • Internet (1%) One-third of 12- to 17-year-olds report obtaining prescription drugs in their own homes (Natl. Center on Addiction & Substance Abuse, 2008)

  5. FLUSH IT TODAY….. DRINK IT TOMORROW!

  6. CURRENT PRACTICE

  7. Protect children, pets, and the environment by… 1. POUR MEDICATION INTO SEALABLE PLASTIC BAG. 2. IF MEDICATION IS A SOLID, CRUSH IT OR ADD WATER TO DISSOLVE.

  8. ADDING KITTY LITTER, SAWDUST, COFFEE GROUNDS (ANYTHING TO MAKE MEDICATION LESS APPEALING TO EAT) TO THE PLASTIC BAG.

  9. REMOVE AND DESTROY ALL PERSONAL IDENTIFICATION FROM THE MEDICATION CONTAINER SEAL THE PLASTIC BAG COMPLETELY AND DISPOSE IN THE TRASH.

  10. FRONT DOOR OPPORTUNITIES • SIMPLIFY • Require a single prescription format • SECURE • Allow only authorized prescribers to order • Require document security features • Require secure production & distribution • VALIDATE • Require automated point of sale validation • 15,144,571 Prescriptions filled at • Idaho Pharmacies • 2,260,702 Prescriptions were controlled substances • 384 Mail Order Pharmacies listed on the Idaho Board of Pharmacy Website

  11. Schematic Demonstrating how Medications Leaked into Environment

  12. UNIQUE PUBLIC AND PRIVATE PARTNERSHIPS • DISPOSAL • • • IDAHO NATIONAL LABORATORY WILL LEND ITS EXPERTISE TO HELP GOVERNMENT AND PRIVATE INDUSTRY DEVELOP SUCCESSFUL SOLUTIONS TO THIS COMPLEX CHALLENGE • .

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