San Francisco’s Safe Medicine Disposal Pilot

ProgramJune 2013 - One Year Update

Voluntary Collaborative Pilot ProgramFunding ($110,000)

From PhRMA and Genentech

Collection (independent pharmacies & police stations)

Using California Model Program Guidelines (SB966)

Program LogisticsCity accepts funds, recruits sites, contracts with hauler for bins/disposal, and conducts outreach City Sponsors: SF Environment, SFPD, SFPUC, Mayor’s Office

OutreachProgram Launch Event, billing inserts, community centers, doctors offices, social media, grassroots outreach“Safe Drug Disposal Information Ordinance”

ResearchMedicine Waste Characterization Study

Pilot Program Collection Sites

Collection Bins for Non-Controlled Meds

Police Stations Take Both Over The Counter

13 Independent Pharmacies

One Community Center

Two-key Collection Bins

Pharmacist Has One Key

Med Waste Hauler Driver has other key

Secure “Non-retrievable” Storage

Bin Signage

Site Signage

Education and Advertising

Medical Waste Generator Permit

Licensed Medical Waste Hauler

Weights Collected

18,950 pounds collected in first 13 months

Pilot Program Budget - $110,000

Local Medical waste generator permits

3.30%

Collec-tion bins

9.91%

Collec-tion site & bin sig-

nage3.83%

Waste charac-teriza-

tion study

29.78%Volunteer appreciation

event0.64%

Non-participating Pharmacy (Info Or-dinance) Signage

9.28%

Launch Event Press

release trans-lation0.40%

Site pick-ups

(does not in-clude

medicines col-lected

at SFPD sta-

tions)42.88%

Pilot Program Launch Event April 23, 2012

HHW Collection Facility 1990-2005

Temporary Pharmacy Collection 2006

DEA Collection Events since 2010

Mail-In Program 2009-2011

SF’s EPR Ordinance for Pharmaceuticals

Indefinitely Suspended in favor of Collaborative Pilot Program

• Introduced in April 2010 to address disposal of residential meds• Passed committee in October 2010• Required producer stewardship plan and annual reporting• Phased-in approach for prescription medication, non prescription, and then controlled substances.

And in addition …

• 100 non-participating pharmacies

• Point of sale materials informing public of how to safely and legally dispose of medicines

• “…posted in an area visible to the public & adjacent to the area where prescription drugs are dispensed”

Safe Drug Disposal Information Ordinance

Poster for Non-participating Pharmacies

Lesson #1: City contracting is slow

July 2011

October 2011

January 2012

April 2012

Lesson #2: Find a Good Hauler

Lesson #3: The Police are Great Partners

But Residents Prefer Pharmacies

Soft

Laun

ch

Laun

ch Ev

ent

May Jun Jul Aug Sep

Oct Nov Dec Jan Feb

Mar Apr0

200

400

600

800

1000

1200

1400

1600

1800

263

828 719

1403 12591524

11081204

1427

1087

11921096

1618

1201

797516 626

47199

72 38 74111

56 6768

70143

89101

78

PharmaciesDEA DaysPolice Stations

Lesson #4: Celebrate Your Partners

Lesson #5: Loose pills are hard to count

Medicine Waste Characterization Study

What’s Next?

© 2013 SF Environment All Rights ReservedThe author of this document has secured the necessary permission to use all the images depicted in this presentation. Permission to reuse or repurpose the graphics in this document should not be assumed nor is it transferable for any other use. Please do not reproduce or broadcast any content from this document without written permission from the holder of copyright.

Maggie JohnsonResidential Toxics Reduction Coordinatormargaret.johnson@sfgov.org415-355-5006