Sharps/Needles Informational Webinar

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1 Household Hazardous Waste Technical Council Presents: Sharps/Needles Informational Webinar Thursday, October 8,

2 About the HHW Technical Council CRRA s HHW Technical Council is composed of household hazardous waste professionals who are responsible to safely and cost effectively manage HHW. The Technical Council provides a forum for discussion and sharing of information about universal and hazardous waste management. Participation in the HHW TC is open to both CRRA members and non members. Visit to learn more about the Technical Council and the benefits of CRRA membership.

3 Today s Panel Christine Flowers, California Product Stewardship Council, Facilitator Patti Toews, County of San Luis Obispo San Luis Obispo County s Take Back Ordinance Update Tim Goncharoff, County of Santa Cruz Santa Cruz County s Take Back Ordinance Update Mark Wilson, Community Pharmacist Hornsynder Pharmacy Santa Cruz Retail Partner Perspective John Gordon & Youth Commissioner Andrew Klotz, Galt Youth Commission Galt Youth Commission Action: Community Needle Disposal Tom Erickson, Sharps Consultant and Former CEO Ultimed Overview of Sharps, Manufacturers, Pharmacies and Successful Disposal Programs

4 Pharmacy Take-Back Program for Sharps San Luis Obispo County Presented by Patti Toews Program Director SLO County IWMA

5 SLO County IWMA Background JPA formed in 1994 to meet the requirements of AB 939 Includes 7 cities, 8 Special Districts, and the County We report to 13 elected board members

6 What's the Problem? SB 1305 Made it illegal to throw sharps into the garbage Public confused? Inconvenient disposal sites Needles found on recycling sorting lines spike.

7 Take-Back Program Background Passed a mandatory take back ordinance 46 take back locations Pharmacies pay disposal costs

8 Why Pharmacy Take-Back? Location Hours of operation Training Marketing

9 Three Take Back Scenarios If you sold sharps to a consumer must take them back. If you are selling sharps to a consumer must take them back. If the consumer lives in San Luis Obispo County, must take back up to two 1 quart sharps containers per week.

10 Program Equipment Applied for and received a $296,300 grant from California Integrated Waste Management Board.

11 Pharmacy s Role Dispense Collect Call for Disposal

12 IWMA s Role Conducted initial set-up and training Schedule pick-ups - Google Docs Invoice pharmacies On-going program monitoring

13 Collection Contractor s Role Log into Google Docs to see collection locations. Visit pharmacies and swap 38 gallon containers Give pharmacies receipt

14 Collection Receipt Driver fills out receipt Pharmacy staff sign Copy given to pharmacy

15 Enforcement Through civil action for civil penalties and injunctive relief District attorney and city attorneys may enforce criminally as misdemeanors Cities, County and Districts may enforce through existing enforcement procedures

16 Results Increase Convenience 5 to 46 drop-off locations Increase hours of operations 4 hours once a week up to 24 hours seven days a week. Diverting over a million sharps per year with zero advertising

17 For Additional Information Patti Toews Program Director San Luis Obispo County Integrated Waste Management Authority (805) Ordinance(s):

18 Tim Goncharoff Santa Cruz County, California

19 Program in operation since 2008 Medicines self-serve drop box in Walgreens pharmacy waiting area

20 Take-Back Sites Sharps only Drugs and Sharps

21 Public Outreach Brochure available in English & Spanish

22 Counter brochure display Public Outreach

23 Public Prohibited items in medicines collection box Outreach

24 Law Enforcement Agencies Bins for drug disposal are in place at all local police departments and sheriff stations. Law enforcement agencies can accept controlled substances.

25 Retail Take-Back Site Local pharmacy

26 Retail Take-Back Site Chain Pharmacy

27 Retail Take-Back Site Medicines self-serve drop box in pharmacy waiting area Chain pharmacy - Walgreens

28 2014 Sharps Disposal Ordinance

29 2015: Producer Responsibility

30 Safe Drug and Sharps Disposal Drugs AND Sharps No convenience zones. ALL sellers must participate. Bins required at all pharmacies & public health facilities. Sharps disposal containers required with all sales. County can require public sharps bins. Stewardship organization responsible for ALL costs as of effective date of program. Outreach and education program required. Administrative fees assessed.

31 Next Steps Stakeholder meeting October 8, 3-5pm Draft Ordinance to Board November 3 Public Hearing December 8 (tentative) Ordinance takes effect June 1, 2016 Working with local cities Draft ordinance available at

32 Tim Goncharoff County of Santa Cruz Public Works Department 701 Ocean St., Rm. 410 Santa Cruz, CA (831)

33 Drugs and Sharps Takeback The Pharmacist s Perspective Mark Wilson Horsnyder and Westside Pharmacies, Santa Cruz, CA

34 Retail Take-Back Site Sharps bio-hazard collection barrel in pharmacy stock room Chain pharmacy Walgreens

35 Sharps Collection Box Outdoor capable BearSaver kiosk by Securr

36 Pharms Collection Box Dual-key system option Single-door Take Back Express by dvault Companies

37 Retail Take-Back Site Sharps container offerings Horsnyder s Pharmacy

38 Availability of Approved Sharps Containers All participating sharps take-back sites must stock sharps containers for sale. Free containers are available at diabetes education centers and HHW sites, and periodically at selected pharmacies and promotional events.

39 Lessons Learned

40 Questions? Mark Wilson Horsnyder and Westside Pharmacy (831)

41 OUR STORY Andrew Klotz Youth Commissioner John Gordon Adult Mentor

42 Where is Galt? Sacramento County Population: 24,817 42% of residents are Hispanic/Latino 19.5% live in poverty Known for the Galt Flea Market

43 Galt Youth Commission 10 Youth/5 Adult Mentors l Represent Youth on Teen Issues l New Focus on Community

44 Annual Retreat Results in Call to Action July 2014 l Retreat Purpose Set Direction for GYC l Toured the Materials Recovery Facility

45 What was the weirdest thing you ve seen come down the line? One Question That Changed Everything

46 What was the weirdest thing you ve seen come down the line?

47 What was the weirdest thing you ve seen come down the line?

48 Source: CPSC Our Research Identifying a Problem Lightbulb Moment l Understanding the Impacts l Recognizing the Challenges

49 Our Research A Regional Scan Field Trip to Sacramento l Elk Grove s Approach l Partnership with the California Product Stewardship Council

50 Sharps Disposal Take-Back Proposal March 2015: Presented to Galt City Council l Articulated Issue AND Solution l Council s Response

51 Next Steps August 3, 2015: City Council Directed Ordinance Language October 6, 2015: First Reading of the Proposed Ordinance November/December 2015: Formal Adoption of Sharps Take Back Program

52 Questions??? E: P:

53 Overview of Sharps, Manufacturers, Pharmacies and Successful Disposal Programs TOM ERICKSON FORMER CEO OF ULTIMED/SHARPS DISPOSAL CONSULTANT

54 Overview 1- Introduction 2- Types of Sharps Sold by Pharmacies 3- Syringe and Pen Needle Manufacturers 4- Pharmacies 5- Effective Existing Programs 6- Two Attributes of All Successful Programs 7- Ultimed s Position

55 Types of Sharps Sold by Pharmacies Pen Needles Lancets Insulin Syringes Pen needle attached to Pen Injector

56 Sharps Manufacturers Becton Dickinson (BD) BD is the largest manufacturer of insulin syringes and pen needles in the world BD has over 80% market share in the US. They are based in Franklin Lakes, NJ BD typically promotes education programs and use of their needle clipping device, called BD Safe-Clip UltiMed, Inc. UltiMed is based in Excelsior, MN and manufactures UltiCare syringes and pen needles Supplies a sharps container with each box purchase of syringes or pen needles Novo Nordisk Novo Nordisk is a large pharmaceutical company headquartered in Denmark They do sell pen needles in the U.S. market which are manufactured for them by a Japanese company. Pen needles are only a very small part of their overall business Various Importers

57 Pharmacies Independents and Small Chains Generally receptive to ideas on pharmacy take-back Large Chains Generally resist the concept of pharmacy take-back Mail Order and Internet Pharmacies It is not practical for mail order and internet pharmacies to do direct take-back

58 Effective Existing Programs (more than 15 years in operation) Sioux Falls, SD Program started as a partnership between Lewis Drug and the City of Sioux Falls Sioux Falls pays for sharps containers and disposal, Lewis Drug operates the program Competitive pressures motivated Walgreens and HyVee to join Quantitative measures of success: Count of sharps containers issued and returned full - Estimated 90% Success! Landfill audits, best in the U.S. For more information:

59 Effective Existing Programs..continued Canada (Except Quebec) Competition for diabetic customers drove the free sharps take-back program Pharmacies pay for both the sharps containers and disposal. No public funds Quebec recently discontinued free sharps containers. Result: large increase in needle sticks this year at Quebec s MIRFs. For more information: Shoppers Drug Mart (SDM) Stericycle Canada Steri-Pac

60 Two Attributes of All Successful Programs 1. Free sharps containers 2. Convenient free disposal collection points

61 Ultimed s Position Free sharps containers are the most essential ingredient for any successful program to work effectively The cost of the sharps container is usually the most expensive component of a sharps disposal program Sharps manufacturers should supply the sharps containers as their contribution to any EPR program

62 Questions? Tom Erickson Sharps Disposal Consultant

63 Questions? Send topic suggestions for the Spring 2016 Webinar via to: Alana Rivadeneyra and Christine Flowers

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