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15 March 2009 – Disposing Unused Medicines- Mostaph Elhwary

15 March 2009 – Disposing Unused Medicines- Mostaph Elhwary. Disposing unused Medicines. Among the lay people . Throwing in the trash a. Homeless b. Pets c. Children. 2. Flushing in the Toilet two thirds of drug waste (EPA 2006)

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15 March 2009 – Disposing Unused Medicines- Mostaph Elhwary

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  1. 15 March 2009 – Disposing Unused Medicines-MostaphElhwary

  2. DisposingunusedMedicines

  3. Among the lay people • Throwing in the trash a. Homeless b. Pets c. Children

  4. 2. Flushing in the Toilet • two thirds of drug waste (EPA 2006) • 1 Billion $ unused drugs are flushed into the toilet Neither is a GOOD method

  5. Among the pharmacies 1. Sending back to the distributers 2. In the trash

  6. Among the pharmaceutical companies • Batch incineration • In the desert • Egyptian ministry of health • Special incinerators • Illegal drug labs • Ecstasy and amphetamine • Chemicals used • Hazards of waste dumped

  7. Among the hospitals • More hazardous drugs • AP: 250,000,000 pounds of drugs into sewer • Higher concentrations of antibiotic resistant bacteria

  8. Impact of improper disposal on the environment 1. Damage to Aquatic life • Decreased reproduction • Alteration in homing behavior • Ex. Diazinon on Salmon fish 2. Antibiotic resistance • stronger bacteria resist antibiotics • Harms on human

  9. 3. Waste water treatment plan (WWTP) • Damage of beneficial bacteria

  10. Syringes and needles

  11. Syringe disposal • WHO: 12 BILLION syringe a year in the world • Transmission of diseases • Virus C • AIDS

  12. Disposing in the trash • Cleaners • homeless • Recycling • KOSHARY & yoghurt

  13. Solutions: Retractable syringes Safety box Needle clipper Needle burner

  14. Proper disposal of PPCPs WHO, FDA stated that: 1. Check the pharmacy for a take-back program NO TAKE BACK PROGRAM 2. Check the city or state for a disposal program NO DISPOSAL PROGRAM 3. Check the police station for disposal box NO DISPOSAL BOX

  15. Solid medication:

  16. Liquidmedications: • Marker or scratch • Add a PUNGENT • Add in container Safe in the toilet (FDA) • Narcotics • Fentanyl • Oxycodone • Entecavir • Stavudine • acetaminophen

  17. Ampoules and vials: • Don’t open • Wrap • Pack in a container

  18. CONFERENCES HELD IN DRUG DISPOSAL • 2007 Northeast water science forum, Portland • IWTC10 2006, Alexandria, Egypt • Pharmaceutical waste reduction & discharge issue, February 2004

  19. conclusion • Don’t throw in the trash UNLESS….. • Don’t flush in the toilet EXCEPT….. • Hope for a take-back program in 20…. • Spread awareness to others

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