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Update: PSI National Dialogue on Medical Sharps. June 2, 2009 Product Stewardship Forum. The Sharps Issue. Sharps are used to deliver critical medications to patients (as well as for blood glucose testing) People, pets, livestock

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Update psi national dialogue on medical sharps

Update:PSI National Dialogue on Medical Sharps

June 2, 2009

Product Stewardship Forum

The sharps issue
The Sharps Issue

  • Sharps are used to deliver critical medications to patients (as well as for blood glucose testing)

  • People, pets, livestock

  • No disposal system for sharps used outside healthcare setting – most go to trash

  • Exposes waste workers, others to potential needle-stick injuries

  • Chances of disease transmission relatively small, but costs can be very high

Dialogue goal
Dialogue Goal

  • To maximize the safe and environmentally sound collection and disposal of waste sharps by developing a nationally coordinated system that is financially sustainable.

Dialogue focus
Dialogue Focus

  • This project is focused on sharps generated outside the traditional health care setting, including households, hotels, casinos, restaurants, airports, and other public venues.

  • Sharps used for people and their pets are included. Agricultural sharps are not included.

Sharps product stewardship the fun parts
Sharps & Product Stewardship: The Fun Parts

  • “Source reduction”?

  • Patients have no choice; demographics

  • Bans w/o plans

  • Assigning/sharing responsibility

    • - Device mfrs? Pharma mfrs? Waste industry?

  • Many new stakeholders – what is EPR, anyway?

  • CA bills 2008, 2009

Dialogue participants1
Dialogue Participants

  • Device Mfrs: BD, UltiMed, Terumo, Covidien

  • Pharmaceutical Mfrs: NovoNordisk, Sanofi-Aventis, GSK, Hoffman-La Roche

  • Waste/recycling industry: Chrysalis Environmental Solutions, Health Waste Solutions, Sharps Compliance, Stericycle, Waste Management

  • Organizations: Coalition for Safe Community Needle Disposal, NACDS, NCPA, Association of Diabetes Educators


Dialogue update
Dialogue Update

  • Action Plan

  • Meeting #1

    • Data

    • Projects

    • Data are limited

    • Sharps should not go to trash, but most do

    • Impacts are difficult to quantify, but can be severe

    • Current collection programs typically under-funded

    • Effectiveness (performance goals) and sustainability (including financial) most important

Dialogue update1
Dialogue Update

  • Meeting #2

    • Develop model state program (including financing)

    • Roles for all stakeholders, even if not direct financial contribution

  • Meeting #3

    • Refined roles; $ responsibility on companies

    • PSOs; voluntary v. legislated

    • Reviewed cost data

    • Asked PSI to facilitate developing MA Demonstration Project

What s next
What’s next?

  • Seeking commitment for Demonstration Project in MA

  • CA legislation this year?

  • MA legislation next year?

  • Still plugging away…


  • Becton, Dickinson, and Co. – Diabetes Care

  • MA Department of Public Health

  • Waste Management, Inc.

  • Sponsorships for meeting costs: UltiMed; Waste Management, Inc.

For more information
For more information

Sierra Fletcher

Associate--Policy and Programs

(617) 236-4886

[email protected]

PSI Email List:

[email protected]