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Pharmaceutical Session Intro PSI Forum, June 2009 Dave Galvin Local Hazardous Waste Management Program in King County (Seattle, WA) A timely subject… Pharmaceuticals • • • • • • Antibiotics Anti-inflammatories Beta-blockers Anti-depressants (SSRIs) Steroids Hormones, estrogen replacements, BC pills • Chemotherapeutics • Stimulants • Etc. Drugs are showing up in the environment • Ibuprofen, valium, prozac, antibiotics, steroids, hormones • Found in 80% of U.S. streams tested by USGS • Found in drinking water supplies in many U.S. cities Drugs also present poisoning and abuse hazards • Most homes have many medicines on the shelves • Common source of childhood poisonings • Common source of teenage and adult abuse Evolution of the Issue • Christian Daughton @U.S. EPA: “father” of this issue? – Lone voice for years beginning in the 1990s; “PPCPs” • Charlotte Smith @PharmEcology Associates in Wisc.: – Founded first RD firm in 1990; founded P.E. in 2000 • U.S. Geological Survey’s seminal study (Kolpin et al.): – Published in ES&T in 2002 • Maine Benzodiazepine group: First Unused Medicine Return Conference in Maine in 2004 – Stevan Gressitt, Len Kaye – concerned about drug abuse • Formation of national Pharmwaste listserv: – Laurie Tenace @Florida DEP – 2004 NAHMMA conference • First EPA Conference on Pharms in Environment: – 2005 in Las Vegas Evolution (cont’d) • Take-backs began at grass-roots: – Indiana – Florida -- New England -- Washington -- California • Complex problem identified – Environmental concerns, also safety/abuse • Complex legal arena for handling left-overs • Product stewardship take-back approach seems like a key piece of answer In sum… • An important, timely focus for PSI • Strong public support for a solution • Lots of activity on take-back, state legislation, source control, federal regs and law changes