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![Page 1: Waste Management and Stewardship Thomas J. Lauro, P.E. Commissioner, Department of Environmental Facilities Susan Gerry Senior Assistant to the County.](https://reader035.fdocuments.in/reader035/viewer/2022070306/551796bd5503463e368b57ee/html5/thumbnails/1.jpg)
Waste Management and Stewardship
Thomas J. Lauro, P.E.Commissioner, Department of Environmental Facilities
Susan GerrySenior Assistant to the County Executive
2008 Watershed Science & Technical Conference
Panel Discussion – Emerging Contaminants
West Point, NY
September 16, 2008
![Page 2: Waste Management and Stewardship Thomas J. Lauro, P.E. Commissioner, Department of Environmental Facilities Susan Gerry Senior Assistant to the County.](https://reader035.fdocuments.in/reader035/viewer/2022070306/551796bd5503463e368b57ee/html5/thumbnails/2.jpg)
Take Back Programs
• In addition to keeping contaminants out of our source water, these programs help prevent– Poisonings– Drug Abuse– Use of Out of Date Medications
![Page 3: Waste Management and Stewardship Thomas J. Lauro, P.E. Commissioner, Department of Environmental Facilities Susan Gerry Senior Assistant to the County.](https://reader035.fdocuments.in/reader035/viewer/2022070306/551796bd5503463e368b57ee/html5/thumbnails/3.jpg)
Types of Take Back Programs
• Finite Events (1 day, 1 week, 6/year...)
• Continuous Programs
• Mailers
• Stewardship Programs
![Page 4: Waste Management and Stewardship Thomas J. Lauro, P.E. Commissioner, Department of Environmental Facilities Susan Gerry Senior Assistant to the County.](https://reader035.fdocuments.in/reader035/viewer/2022070306/551796bd5503463e368b57ee/html5/thumbnails/4.jpg)
Finite Programs• Allen County, IN
– 2 Events per Year– Collection @ Police Station and Senior Center
• Chicago, IL – One Day– 25 Locations– Collection at Senior Centers, Hospitals, Police
Stations– Collected 1,600 Lbs
![Page 5: Waste Management and Stewardship Thomas J. Lauro, P.E. Commissioner, Department of Environmental Facilities Susan Gerry Senior Assistant to the County.](https://reader035.fdocuments.in/reader035/viewer/2022070306/551796bd5503463e368b57ee/html5/thumbnails/5.jpg)
Finite Programs• Bay Area, CA - One Week
– Collection at Pharmacies, City Hall and Senior Centers
– ~$24.77 per Lb
• Westchester County – 9 Events per Year– Collections @ HRD Days– ~ $13 per Lb
• Alachua, FL – 5 Month Program– 12 Locations, pharmacies, Clinics, County– ~ $53 per Lb
![Page 6: Waste Management and Stewardship Thomas J. Lauro, P.E. Commissioner, Department of Environmental Facilities Susan Gerry Senior Assistant to the County.](https://reader035.fdocuments.in/reader035/viewer/2022070306/551796bd5503463e368b57ee/html5/thumbnails/6.jpg)
Continuous• Clark County, WA – 12 Year Old Program
– 3 Permanent Hazardous Waste Facilities and Pharmacies
– No Controlled Substances
• King County, WA– 27 Locations, Pharmacies, Nursing Homes– ~ $5.60 per Lb
![Page 7: Waste Management and Stewardship Thomas J. Lauro, P.E. Commissioner, Department of Environmental Facilities Susan Gerry Senior Assistant to the County.](https://reader035.fdocuments.in/reader035/viewer/2022070306/551796bd5503463e368b57ee/html5/thumbnails/7.jpg)
Continuous
• Kendall County, IL– All substances collected at Police Stations
• LaCrosse, WI– All substances collected at a permanent
Hazardous Waste Facility– ~ $12,000 - $15,000 per year
![Page 8: Waste Management and Stewardship Thomas J. Lauro, P.E. Commissioner, Department of Environmental Facilities Susan Gerry Senior Assistant to the County.](https://reader035.fdocuments.in/reader035/viewer/2022070306/551796bd5503463e368b57ee/html5/thumbnails/8.jpg)
Mailers
• Maine– DEA formulated legislation– Consumers use prepaid mailers to send
unwanted meds to DEA– Mailers are available at pharmacies, doctors
offices and post offices– No funding available, program not yet
implemented
![Page 9: Waste Management and Stewardship Thomas J. Lauro, P.E. Commissioner, Department of Environmental Facilities Susan Gerry Senior Assistant to the County.](https://reader035.fdocuments.in/reader035/viewer/2022070306/551796bd5503463e368b57ee/html5/thumbnails/9.jpg)
Stewardship
• Australia - RUM– Return Unwanted Meds– Meds collected at pharmacies since 1998– 5,000 pharmacies participate– Commonwealth sponsors all costs– Annual cost $751,000 or ~ $1.47 per Lb– Pharmaceutical wholesalers discount disposal
costs
![Page 10: Waste Management and Stewardship Thomas J. Lauro, P.E. Commissioner, Department of Environmental Facilities Susan Gerry Senior Assistant to the County.](https://reader035.fdocuments.in/reader035/viewer/2022070306/551796bd5503463e368b57ee/html5/thumbnails/10.jpg)
Stewardship
• Canada – MRP– Med Return Program– Post Residual Stewardship Regulations 1996– Residual Management Group– Funded by Brand Owners– 856 pharmacies participate– Annual cost $170,500 or ~ $3.25 per Lb
![Page 11: Waste Management and Stewardship Thomas J. Lauro, P.E. Commissioner, Department of Environmental Facilities Susan Gerry Senior Assistant to the County.](https://reader035.fdocuments.in/reader035/viewer/2022070306/551796bd5503463e368b57ee/html5/thumbnails/11.jpg)
Take Back the Meds Program
• Westchester County enlisted available assistance and expertise;– NYSDEC– NYSDOH– Westchester Rockland Society of Pharmacists– RESCO
![Page 12: Waste Management and Stewardship Thomas J. Lauro, P.E. Commissioner, Department of Environmental Facilities Susan Gerry Senior Assistant to the County.](https://reader035.fdocuments.in/reader035/viewer/2022070306/551796bd5503463e368b57ee/html5/thumbnails/12.jpg)
Household Recycling Days
• Public bring medications in original packaging
• People don’t have to leave cars
• Volunteer Pharmacists and County Chemists Identify and inventory medications
• Under control and observation of County Law Enforcement
![Page 13: Waste Management and Stewardship Thomas J. Lauro, P.E. Commissioner, Department of Environmental Facilities Susan Gerry Senior Assistant to the County.](https://reader035.fdocuments.in/reader035/viewer/2022070306/551796bd5503463e368b57ee/html5/thumbnails/13.jpg)
Household Recycling Day 9-13-08
![Page 14: Waste Management and Stewardship Thomas J. Lauro, P.E. Commissioner, Department of Environmental Facilities Susan Gerry Senior Assistant to the County.](https://reader035.fdocuments.in/reader035/viewer/2022070306/551796bd5503463e368b57ee/html5/thumbnails/14.jpg)
Logging Medications
• Volunteer Pharmacist
• County Chemist
• County Police
![Page 15: Waste Management and Stewardship Thomas J. Lauro, P.E. Commissioner, Department of Environmental Facilities Susan Gerry Senior Assistant to the County.](https://reader035.fdocuments.in/reader035/viewer/2022070306/551796bd5503463e368b57ee/html5/thumbnails/15.jpg)
Medication Disposal
• Westchester County collaborated with Wheelabrator, Inc for incineration.
• Incineration takes place at the County owned Waste to Energy plant operated by Wheelabrator.
• Drugs confiscated by County law enforcement were already being incinerated there.
![Page 16: Waste Management and Stewardship Thomas J. Lauro, P.E. Commissioner, Department of Environmental Facilities Susan Gerry Senior Assistant to the County.](https://reader035.fdocuments.in/reader035/viewer/2022070306/551796bd5503463e368b57ee/html5/thumbnails/16.jpg)
What and How Much is Being Collected?
3/28/2008
1728170
3.20%
61.57%
31.32%
1.42%
2.49%
15.66%84.70%
TOTAL GALLONS COLLECTED
George's Island - Montrose
PORTION THAT IS PRESCRIPTION
PORTION THAT IS OVER THE COUNTER
TOTAL NUMBER OF HOUSEHOLDSTOTAL CONTAINERS/MEDICINE COLLECTED
PORTION OF TOTAL THAT IS IN PILL/SOLID FORM
PORTION THAT IS DEA CONTROLLED
PORTION THAT IS UNKNOWN
PORTION OF TOTAL THAT IS IN LIQUID, GEL, OR
PORTION THAT IS VET PRESCRIPTION
![Page 17: Waste Management and Stewardship Thomas J. Lauro, P.E. Commissioner, Department of Environmental Facilities Susan Gerry Senior Assistant to the County.](https://reader035.fdocuments.in/reader035/viewer/2022070306/551796bd5503463e368b57ee/html5/thumbnails/17.jpg)
What is Being Collected?
Zip Medication #PillsTotalw/v
DEA RX OTCVet Rx
Unkn
10801 Ibuprofen 200 mg 422 x10801 Acetaminophen 325 mg 120 x10566 Percodan 200 mg 12 x10566 Tylenol w/codeine 300 mg 3 x10566 Thyro tab 0.6 mg 120 x10566 Thyro tab 0.4 mg 120 x10520 Zoloft 50 mg 23.9 g x
Montrose 3/28/08
![Page 18: Waste Management and Stewardship Thomas J. Lauro, P.E. Commissioner, Department of Environmental Facilities Susan Gerry Senior Assistant to the County.](https://reader035.fdocuments.in/reader035/viewer/2022070306/551796bd5503463e368b57ee/html5/thumbnails/18.jpg)
Montrose 3/28/08 by % and (#)
61.57%
31.32%
1.42%2.49%
3.20%
DEA Rx OTC VET Rx Unknown
(7)
(4)
(88)
(9)
(173)
![Page 19: Waste Management and Stewardship Thomas J. Lauro, P.E. Commissioner, Department of Environmental Facilities Susan Gerry Senior Assistant to the County.](https://reader035.fdocuments.in/reader035/viewer/2022070306/551796bd5503463e368b57ee/html5/thumbnails/19.jpg)
YTD Total Containers by CategoryYTD 1285 Lbs
1843
949
6719 264
DEA Rx OTC VET Rx Unknown
![Page 20: Waste Management and Stewardship Thomas J. Lauro, P.E. Commissioner, Department of Environmental Facilities Susan Gerry Senior Assistant to the County.](https://reader035.fdocuments.in/reader035/viewer/2022070306/551796bd5503463e368b57ee/html5/thumbnails/20.jpg)
YTD Percentage by Category YTD 1285 Lbs
58.66%
30.20%
2.13%0.60% 8.40%
DEA Rx OTC VET Rx Unknown
![Page 21: Waste Management and Stewardship Thomas J. Lauro, P.E. Commissioner, Department of Environmental Facilities Susan Gerry Senior Assistant to the County.](https://reader035.fdocuments.in/reader035/viewer/2022070306/551796bd5503463e368b57ee/html5/thumbnails/21.jpg)
Stewardship“Where do we go from here?”
• Expanded Public Education
• Expand Take Back Programs eg. Canada and Australia– Utilize the “you sell it, you take it back” concept– require participation by the pharmaceutical
industry
• Require compliance through State or Federal legislation
![Page 22: Waste Management and Stewardship Thomas J. Lauro, P.E. Commissioner, Department of Environmental Facilities Susan Gerry Senior Assistant to the County.](https://reader035.fdocuments.in/reader035/viewer/2022070306/551796bd5503463e368b57ee/html5/thumbnails/22.jpg)
Resources
• Illinois-Indiana Sea Grant Web page• www.iisgcp.org/unwantedmeds/index.htm
• NYSDEC Link• www.dontflushyourdrugs.net