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SB 1305 Sharps

SB 1305 Sharps. Jim Cropper (916 ) 323-3416 jcropper@ciwmb.ca.gov. Home-Generated Sharps Waste …. H ypodermic Needles, Pen Needles , Intravenous Needles, Lancets , and Devices Used to Penetrate the Skin for the Delivery of Medications. . Sharps Usage in CA.

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SB 1305 Sharps

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  1. SB 1305Sharps

  2. Jim Cropper(916) 323-3416jcropper@ciwmb.ca.gov

  3. Home-Generated Sharps Waste… • Hypodermic Needles, • Pen Needles, • Intravenous Needles, • Lancets, and • Devices Used to Penetrate the Skin for the Delivery of Medications.

  4. Sharps Usage in CA • 40 Million People • 7.6% are Diabetic • 16% Inject Insulin • 486,000 Self-Inject Insulin/Day • 2 Syringes Used Per Day/Person • 180 Million Home-Generated Sharps Just for Self-Injecting Diabetics in CA Per Year • Only 30% of Self-Injectors are Self-Injecting Diabetics • Could be 1/2 Billion Sharps Per Year in CA

  5. What Else Are Sharps Used For? • Allergies • Cancer • Hepatitis • Infertility • Multiple Sclerosis • Psoriasis • Arthritis • Diabetes • HIV/AIDS • Migraines • Osteoporosis

  6. What Do People Do With the Sharps? • Flush Down Toilet • Discard in MSW • Leave in a Public Place • N.Y City -1988-83% of Self-Injectors Dispose of Needles in Trash • Atlanta-93% Self-Injectors Dispose of Sharps in Trash • 35% Who Discarded in Trash, Made No Effort to Contain Them, 54% Did Break the Needles

  7. Who’s At Risk • Custodial or Hospitality Workers • Waste Haulers • Recycling Facility Personnel • Anyone Working Around Landfills

  8. Dangers of Getting Stuck with Sharps • Needlestick Injuries-Could Get Hep C, Hep B, HIV • Become Lodged in Equipment • Painful If You Get Stuck • Costs- Post-Injury Testing and Counseling $600 – Blood Tests $100,000’s if positive • Disease Prevention Measures (Protective Clothing)

  9. Amounts of Sharps Collected 2006-07

  10. SB 1305-New Amendments to the Health and Safety Code • Added the Definition of Home-Generated Sharps Waste • Home-Generated Sharps are not Medical Waste • Requires Special Handling and Disposal

  11. Effective September 1, 2008 • Create Prohibitions for Disposal • Create Container Requirements • Create Management and Disposal Requirements for Home-Generated Sharps Waste

  12. Prohibitions for Home-Generated Sharps Waste Cannot be Placed in the Following Containers: • Solid Waste, • Recyclable Materials, and • Greenwaste.

  13. Enforcement • Only Done Locally. • Can’t Be Enforced Under the MWMA, because Home-generated sharps waste are not medical waste.

  14. Disposal Options for Home-Generated Sharps Waste • HHW Facility, • Home-Generated Sharps Consolidation Point, • Hospital, Clinic, Etc. • Mail-back Container.

  15. Consolidation Point • Obtain a one time written approval from the Local Enforcement Agency • Accept waste in containers that meet the definition of a sharps container; and • Ensure that the waste is handled, stored and transported as a medical waste after receipt.

  16. Kiosks as Consolidation Points

  17. Disposal Options • Medical Waste Mail-Back Container

  18. Source Reduction Products • Clipper • Voyager • Melt Cost-$89-$180

  19. Where Can the Public Find Out Where to Take Sharps? • Contact Local HHW Facility or LEA • Look for a location on www.Earth911.org • Look for a location at safeneedledisposal.org • www.ciwmb.ca.gov/HHW/Sharps/Collection • CDPH-www.cdph.ca.gov

  20. Components of a Successful Sharps Collection Program • Accessible • Financially Viable • Inclusive • Affordable • Confidential • Safe • Well-Publicized • Supported by the Community • Safe

  21. Setting Up a Sharps Program • Guidelines for Establishing a Collection and Disposal Program-Safe Needle Disposal • Build a Team- Public Health Officials, Diabetes Educators, HIV Departments, Waste Officials, Health Industry (AMA,AADE, MS, Hep Groups) • Monitor Program Participation, Community Supporting Program, Serving Population, How to Expand

  22. Costs • San Bernardino-Drop Off-$6,000/Year • Mail Back Programs- • 50,000 Residents - $8,022 • 100,000 Residents - $16,044 • 250,000 Residents – 440,110 • San Francisco- 30 Drop Off Pharmacies $231,395 -$1.52 yr/Resident or 13 Cents per Month

  23. Costs-Los Angeles • Containers - $6.25 /Container (Container, Collection, Transportation, and Disposal.  Total Cost (75,000 X 6.25 = $468,750) • Mail Back Program: $27.50.  Total cost (10,000 X $27.50 = $275,000)   • How is the program paid for? • HHW Funds Generated from Stormwater Program and Wastewater Program to cover the cost.  

  24. Other Resources California Dept of Public Health-www.cdph.ca.gov • Medical Waste Management Act • Alternative Treatment Technology List • Registered Transporter List • Consolidation Points CIWMB-www.ciwmb.ca.gov/HHW/Sharps SLO Ordinance Diabetes Cost Calculator Safe Needle Disposal Product Stewardship Institute-productstewardship.us SWANA-Training Materials

  25. 2007 Sharps Survey of • Individuals, • Home Health Care Providers, and • Hospice Care Providers

  26. Survey of Individuals • 33% Obtain Their Sharps Online (33%) and a Smaller Number Obtain Their Sharps from Chain Stores (18%).

  27. Survey of Individuals Most Respondents to the Survey Dispose of Their Sharps in a Strong Container (34%) and at a Household Hazardous Waste Facility (21%).

  28. Survey of Individuals This Graph Shows That the Major Barrier to Proper Disposal of Sharps is Not Knowing Where to Take the Sharps (31%)

  29. Survey of Individuals This Graph Shows That 72% of the Respondents’ Insurance Doesn’t Pay for Disposal of Their Sharps.

  30. Survey of Individuals This Graph Shows That the Majority of People Get Information About Sharps Disposal From the Internet (24%) and from Their Doctor (20%).

  31. Survey of Individuals Best Method to Dispose of Sharps Was a Brochure at the Purchase Point (26%) followed by Information From a Non-Profit Organization (18%).

  32. What is the CIWMB Doing Regarding Sharps? Web Page • Law • Where to Dispose of Sharps-Searchable Database • Summary of Local Programs • Listserv • Notes and Presentations from Stakeholder Meeting • Survey Information • Poster, Brochure, Mailer to Pharmacies

  33. Resources • Jim Cropper - (916) 341-6595 jcropper@ciwmb.ca.gov • $ 50,000-Promotional Program Brochure, Poster, Mailer Requesting to Be Consolidation Point • Listserv-www.ciwmb.ca.gov/Listservs/ • Form 303 Information • HHW Grants-Retail Take-Back and EPR Programs , Including Sharps • CDPH Staff and Web Page • Diabetes Calculator

  34. Strategy • Catalog Consolidation Points and Obtain New Ones by Mailer • Provide Brochure to Pharmacies, Doctor Offices • Work with Diabetes Educators-12 Chapters and 1,000 Educators • Contact Non-Diabetic Illness Organizations, such as MS • Press Release on New Law and LEA Advisory • Promote Searchable Database

  35. Brochure

  36. Questions? Comments? Suggestions?

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