Just read an alarming report about the ill-effects our medicines are having in certain watersheds. Thought you should read this too so here it is: (from “Daily Bag Limit”…..sister blog in the Skinny Moose Media family.)
What Perscription Drugs Are Doing To Our Fish And Humans
April 12th, 2007 by Tom Remington
I have covered to some degree the story that keeps rearing its head about how the drugs we take and dispose of are finding their way into our watersheds and landfills. Some of the first stories I wrote were back as early as last September when the story came out that chemicals, as a result of estrogen ingestion by humans, were showing up in the Potomac watershed but more precisely in the drinking water supplies of many in that area. These chemicals have been labeled “endocrine disruptors”. In short, these are coming from sources such as birth control pills and the human waste from people ingesting the pill.
The result of such chemicals being found in the Potomac area water supply and watershed, has shown to turn male fish into fish with both sex organs – male and female. Shortly after this story ran, another story was released about Dr. David Norris’ study of the same chemicals causing the same affects in fish in Boulder Creek, just downstream from the water treatment facility.
Then, in March of this year, the U.S. Fish and Wildlife Service announced that chemicals coming from people’s prescription drugs was showing up in our water supplies. They offered better ways to dispose of unused drugs other than the usual – flushing them down the toilet.
APhA and the U.S. Fish and Wildlife Service say three steps could make a difference:
1. Do not flush unused medications, unless specifically advised to because of abuse potential of a particular drug.
2. When tossing unused medications, crush solid medications or dissolve them in water – this applies for liquid medications as well – and mix with kitty litter or sawdust or any material that absorbs the dissolved medication and makes it less appealing for pets or children to eat. Place the materials in a sealed plastic bag before tossing in the trash.
· Remove and destroy the prescription label with personal information from the medication container.
· Check for approved state and local collection programs or with area hazardous waste facilities. In certain states, you may be able to take your unused medications to your community pharmacy.
3. Talk to your pharmacist on how to properly dispose of your unused medications.
In an article I wrote on this in March, I ridiculed this announcement and actually referred to it as “a bunch of crap”.
While it is probably good advice to minimize the affects of disposing of drugs into sewer and garbage, the advice given to readers is a bunch of crap.
To clarify to readers, I did acknowledge that it is a good idea to minimize the effects of disposal of waste on our environment. I still believe the advice as presented in the newspapers and online is not well done. Whose fault that is, I don’t know. Had these reports taken the time to explain to people that their advice wasn’t the cure but was only a means of minimized the negative results, perhaps they wouldn’t have been open to such scrutiny.
But this story doesn’t end here. Today, at MLive a Michigan online website, reports once again that these same harmful chemicals are showing up in surface waters, fish and other aquatic creatures in that state. And once again the USFWS along with the American Pharmacy Association, announced the best methods of disposing of unused drugs – the same as above.
This prompted me to fire off an email to both the USFWS and the APhA.
I have read on two different occasions where either both you and the U.S. Fish and Wildlife Service or just the USFWS have listed the proper way of disposing of unused prescript drugs. Once concerning drugs being found in the Potomac watershed and today in Michigan.
* Crush pills or dissolve them in water, mix with kitty litter or sawdust, place in a sealed plastic bag before putting the material in the garbage. Use the same procedure for liquid medication.
* If possible, take unused medications to a household hazardous waste collection site;
* Talk to your pharmacist. Some pharmacists can provide information on how to dispose of unused medications.
This is how it showed in the newspapers.
I have a question that I would like clarification on if possible. I have covered this story in several of my blogs, mostly the “Daily Bag Limit” fishing blog.
My question is this. You recommend crushing the medication, adding water to it and mixing it with kitty litter or sawdust and in one case I saw coffee grounds. Does this change the chemical make up of the drugs rendering them completely harmless?
If not, don’t you think that it is ridiculous to believe that stuffing them in a sealed plastic bag before putting them in your garbage can is only slowing the inevitable by moving the contamination from a less direct means of finding its way to the watershed? Dumping these drugs into the landfills, even in a plastic bag, is going to find its way eventually into the ground and ultimately the same water you think you’re protecting.
The other question is how do the companies “trained” to dispose of these drugs, handle them?
Thank you for any assistance you can offer.
It took only 42 minutes for me to hear back from the APhA. Incredible.
Tom,
Thanks for your email, however, I think your response has been one of the challenges that we’ve faced as a whole with regards to this issue. Please remember that ANY effort to keep the medications from entering the waterways is ultimately a good thing, so no method is too “ridiculous” to use your word, to prevent that from happening. And yes, obviously, if you destroy a medication and mix it with an undesirable substance, the chemical make-up will be altered – which will certainly minimize its effectiveness and potential impact.
I think one of the important things we also want to emphasize is that people should take some personal responsibility with regards to their own health and that of the environment. From a healthcare/medical perspective, ultimately, we’d like for people to continue taking their medications; but from a practical perspective, we want people to get their unused medications out of the home to decrease the likelihood of diversion or poising of children and household pets.
In response to this statement:
“Dumping these drugs into the landfills, even in a plastic bag, is going to find its way eventually into the ground and ultimately the same water you think you’re protecting”
Our recommendations are based directly on guidance from the Environmental Protection Agency (EPA). Today’s landfills and hazardous waste facilities are much more technological advanced than you might remember or realize. Also keep in mind, that in today’s world, nothing is ever a permanent solution. We continue to investigate ways to improve this and we’re always open to other options. I’ve heard arguments from a number of people that incineration could be the best option, but I always like to point out that the EPA has yet to investigate that thoroughly as a viable option, but we don’t yet know that all chemicals completely disappear at certain temperatures or that the incinerations being used are approved for use by EPA – most are not from what I’ve been told. This could very well be a solution in the future, but at this time enough research on this method does not yet exist.
That said, with regards to your question about how companies dispose of the medications. You’d need to check with them, they discard of products that do not meet GMP (Good Manufacturing Practices) in a number of ways, which I am not familiar with, but I do believe incineration is one of the more popular methods. We are working with the Food and Drug Administration (FDA) to figure out what those companies do and how effective their disposal methods are. To my knowledge, this information cannot be found publicly.
Remember, this is an ongoing process – with few immediate solutions. There are a number of programs taking place around the country, which we are closely monitoring. Some will certainly work better than others, but rest assured that we will find out what works and certainly make modifications to our recommendations if necessary. APhA believes that we’ve found an ideal partner in the U.S. Fish & Wildlife Service, as we can help them address the health aspect of the issue and they can remind of us of the important environmental considerations.
I hope that I’ve answered your questions sufficiently. If you have any additional questions, please don’t hesitate to give me a call. We appreciate your coverage of what is not only an environmental issue, but a public health issue.
Erica V. Jefferson
Manager, External Communications
American Pharmacists Association
1100 15th Street NW
Suite 400
Washington, DC 20005-1707
Direct: 202-429-7537
Fax: 202-638-3793
ejefferson@aphanet.org
www.pharmacist.com
Needless to say, I was shocked in two ways. One that the response was so quick and two that the response wasn’t a canned message full of the usual talking points, etc. I believe Erica’s response was an honest one and helped me to realized that they know their methods aren’t the cure either but only one step toward minimizing the problem.
Had this been relayed to the public, what few of us who even know about it, I for one would have felt differently.
Now, if we can only get the powers that be to stop dragging their feet and actually find a way to stop this before all our fish and dead or diseased.
While I can’t say that I agree with everything in Erica’s response, at least I feel it was an honest attempt to answer my questions. I have an open invitation to contact her with any other questions and concerns and to follow the progress on this issue. You can sure I will be following it.
I have not heard back from USFWS. I wonder what they will have to say? Stay tuned.
Tom Remington
As I said this is disturbing news and could explain why certain species of fish are losing ground in certain watersheds that have “waste management” issues, or sewage treatment plants on them.