Agenda Item Purpose

1. Consideration of Model Programs and Procedures for the Collection and Proper Disposal of Pharmaceutical Waste As Required by Public Resources Sections 47102-47126 and Discussion of Management of Sharps

2. Agenda Item Purpose • Update the Board on Implementation of SB 1305 • Approve Criteria and Procedures for Model Pharmaceutical Waste Collection and Disposal Programs

3. SB 1305

4. SB 1305 Enacted into Law in 2006 Concerns from the Solid Waste Management and Hospitality Workers re: Needle Sticks at MRFs, Recycling Centers, Landfills, Trash Cans

6. Sharps Generation U.S. - 3 Billion Home-Generated Sharps Generated California – Approximately 300 Million

7. SB 1305 Requirements • Amended MWMA to Define Home-Generated Sharps • Illegal to Dispose of “Home-Generated” Sharps in Trash, Recycling, or Green Waste Containers • Can Only be Transported in Containers Approved by CDPH or the LEA.

8. Where Can Sharps Be Disposed? • HHW Facilities • Medical Waste Generator Facilities • Home-Generated Sharps Consolidation Points • Medical Waste Mail-Back Containers

9. SB 1305 Implementation Strategy • Educate Local Government Staff About the Law • Develop Educational Materials & Disseminate • Develop a Searchable Web Based Data Base • Increase the Number of Collection Locations by Soliciting Pharmacies

10. SB 1305 Implementation Strategy • Work with the California Diabetes Educators and Chronic Disease Organizations • Work with LEAs Re: How to Handle Sharps Found at Landfills, Recycling Centers, or MRFs

11. SB 1305 Implementation Strategy • Meet with Retailers Re: Corporate Retail Take Back Programs • Work with PSI and CPSC to Implement EPR Programs • Work with Hospitals, Clinics, and Medical Organizations to Become Collection Locations • Research and Facilitate the Use of Source Reduction Devices

12. Accomplishments • 3 Stakeholder Meetings • Sharps Web Page • HHWIE Meetings Sharps • Searchable Database

13. Accomplishments • Developed Educational Materials • Sent Out Materials to 6,000 Pharmacies • List Serv – 400 Contacts

14. Ongoing Sharps Issues • Business and Professions Code • Lack of Continuous Funding in Some Areas • Lack of Retail Pharmacies Making It a Corporate Policy to Collect Sharps • Lack of Knowledge About the New Law by Self-Injectors and Home-Health Care Providers

15. Ongoing Issues • Lack of Any Type of Enforcement Power Re: Throwing in the Trash • Lack of Program Consistency from Jurisdiction to Jurisdiction • No Requirement on Mfrs. Or Retailers to Take Back Sharps Except in SLO.

16. Questions?

17. SB 966Procedures for Model Pharmaceutical Waste Collection Programs

18. SB 966 • Enacted in 2007 • Due to Pharmaceuticals Entering Waterways and Drinking Water

19. SB 966 Requirements • Requires the Board to: • Evaluate Other State, Local, and Other Governmental Entity Programs • Develop Model Programs for the Collection and Proper Disposal of Drug Waste.

20. SB 966 Requirements • Requires the Board to: • Establish Criteria and Procedures for the Implementation of Model Programs. • Make the Model Programs Available No Later Than December 1, 2008. • Submit a Report to the Legislature on Drug Take Back Programs and the Potential Implementation of a Statewide Program by 2010

21. Criteria for Model Programs • Operate at No Cost to the Consumer for the Safe Take Back and Disposal • 2. Protect the Public Health and Safety & Environment • 3. Protect the Health and Safety of Consumers

22. Criteria for Model Programs 4. Provide for Reporting to the Board 5. Protect Against Diversion of Drug Waste 6. Provide Educational Materials for Consumers

23. Plan to Implement SB 966 • Developed and Met With Working Group • Conducted Stakeholder Meetings - 3 • Spoke at HHWIEs and WSPPN Meetings • Gathered Info via Survey & Internet • Developed Criteria and Procedures

24. Plan to Implement SB 966 (cont.) • Sent out Criteria and Procedures for Comments • Held Stakeholder Workshop • Submitted to the Board for Comments and Approval

25. Take Back Program Survey Surveyed Programs in CA and in Other States. Received 23 Completed Surveys & 4 from Out of State. Most Collect at HHW Facilities

26. Take Back Program Survey (cont.) • Collect at Police Stations, Pharmacies, Public Facilities, and by Mail Back Programs. • Attachment 2 Summarizes How the Surveyed Programs Meet the SB 966 Criteria.

27. Proposed Criteria and Procedures for Collection of Drug Waste

28. Proposed Criteria and Procedures for Collection of Drug Waste • Written to Comply With Statute • Assist Organizations or Local Govt in Developing Collection Programs.

29. Proposed Criteria and Procedures for Collection of Drug Waste • Developed from: • Statutory Requirements • Completed Surveys • Working Group Input • Stakeholder Comments

30. Proposed Criteria and Procedures for Collection of Drug Waste Sections (I) Permanent Collection and Disposal Programs (II) Government-Sponsored One Time or Periodic Collection Events (III) Pharmaceutical Waste Collection and Disposal Programs Through a Mail Back Program

31. Proposed Criteria and Procedures for Collection of Drug Waste • What Can be Collected • Controlled Substances • How to Collect Pharmaceuticals • Security • Signage • Data Collection • Education

32. Proposed Criteria and Procedures for Collection of Drug Waste (cont.) • Logistics • Govt. Authorization – Permits • Budget • Advertising • Equipment • Staffing

33. Dissemination of the Procedures

34. Dissemination of the Procedures • Post on the Board’s Sharps and Pharma Listserv • Post on the National Listserv • Provided to Local Govts. and HHW Programs

35. Ongoing Issues Re: Pharms

36. Ongoing Issues Re: Pharms • The Business and Professions Code (B&P Code) • Collection of Controlled Substances and Illegal Drug Diversion • Ongoing Funding • Places a Burden on Locals to Collect Pharms • Not Eligible for HHW grant funds.

37. Ongoing Issues Re: Pharmas • No Take Back Policies Regarding Mfrs. And • Retailers • Insufficient Funding for Education and Outreach

38. Questions?