La Crosse County Medication Collection Program

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La Crosse County Medication Collection Program

• Jeff Gloyd
• Special Waste Manager
• La Crosse County Hazardous Materials Program

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La Crosse County Medication Collection Program

• Program Goal
• Develop a priority strategy for managing the
  disposal of expired, discontinued and unnecessary
  medications for La Crosse County residents, area
  residents, and qualifying area businesses.

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La Crosse County Medication Collection Program

• History
• 4/2003 Cty discussions to build HHW facility
• 11/2003 HHW Facility opens
• Paint, Aerosols, Pesticides, Automotive Fuels,
  Acids, Base
• 2004 NAHMMA Best in Program Award
• 10/2004 Mobile Collection begins in La Crosse
  Cty
• 5/2005 Program expands to other counties.
• 6/2006 Program expands E-Waste/Sharps
• 1/2007 Regional expansion (5 counties)
• 6/2007 Medication Take Back Program begins.
• 2008 Operational Plan RX Collection to 10
  Counties. Expanded Hours.
• Future Access Mail Order and/or Kiosks

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La Crosse County Medication Collection Program

• The Problem
• Years of indiscriminate disposal through water
  and landfill systems.
• Water filtration systems can not detect or
  filter.
• Medications found in streams and lakes.
• Probable environmental impact.
• Longstanding problem..

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La Crosse County Medication Collection Program

• Rules and Regulations
• WI DNR Relaxed regulations for hazardous waste
• DOT Transportation issues
• DEA Controlled Substances
• WI Administrative Codes (WAC) NR 666 (VSQG
  Business Regulations).

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La Crosse County Medication Collection Program

• Why it works
• Capacity to manage ALL expired, unused and
  unnecessary medications.
• Offers best management practice for environment.
• Meets intent of Resource Conservation and
  Recovery Ace 1976 (RCRA).
• Meets EPA guidelines.
• DEA License EXEMPT.
• Supported by La Crosse Cty Law Enforcement
  (Deputized).
• Facility Security/Alarm System (upgrade).
• Expands/improves upon Federal guidelines.
• Tracking and Reporting capacity.

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La Crosse County Medication Collection Program

• How it works..the process.
• Continuous and Permanent.
• Very Small Quantity Generators
• Tracking Method Medication Wt and Zip Codes.
• Simple Collection Process
• Tablets/Capsules/Liquids
• Topicals, Powders, Transdermals
• Inhalation Aerosol Medication
• Stored Non-Retrievable/Secured
• Hazardous Waste Incineration off site
• No medications are lost to the system

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La Crosse County Medication Collection Program

• Cost to Participate
• La Crosse County Households FREE
• Business 15.00 3.00/lb NET WT.
• Comparisons
• Nursing Home 33lbs net/110
• Antibiotic StockpileExpired
  Doxycycline/Ciprofloxicin 2467lbs/7000.
• Estimated Cost other vendors 4X

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La Crosse County Medication Collection Program

• STATS
• 2007 Projected
• Number of participants
• 500 Households
• 30 Businesses.
• Actual YTD
• Number of Participants
• 350 Households.
• 17 Businesses.

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La Crosse County Medication Collection Program

• Participants
• Disposal vendor for
• Grant Cty 1 day clean sweep collection.
• 82 lbs medications
• Others (Juneau County, Adams County, Dane County)
• Pharmacy Closure (DEA Referral) Controlled
  Substance.
• State Pandemic Stock Pile expired Ciprofloxicin
  and Doxycycline.
• Mobil Collections scheduled for Vernon and Monroe
  Ctys. Fall 2007.

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La Crosse County Medication Collection Program

• Tracking YTD 4125 lbs NET

Month Medication Wt.(lbs)
June 07 569
July 07 597
August 07 649
September 07 2310
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La Crosse County Medication Collection Program

• Marketing Program
• Brochures.
• TV and Radio.
• Newspapers.
• Pharmacy Providers (electronic message on RX
  receipts).
• Nursing Homes.
• Regional and State (PSW, Coulee Region
  Pharmacists, State Bd of RX).
• National Partners.

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La Crosse County Medication Collection Program

• Program Barriers
• Controlled vs. Non-Controlled.
• Funding Sources Grant opportunities.
• Participation.
• WI State Board buy in.
• Community participation.
• DNR, EPA, DEA support and consensus.

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La Crosse County Medication Collection Program

• Summary Points
• Big Problem with Easy Solution
• Low Cost to participate
• Best Available Option. Promotion and Prevention.