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06 - Sharps- Pharmaceutical Program Protecting our community's health a nd the environment by providing solid waste and sewer collection services. www.cmsdca.gov Costa Mesa Sanitary District ….an Independent Special District Memorandum T o: Operations Committee Via: Scott Carroll, General Manager From: Elizabeth Pham , Management Intern Date: June 18 , 2013 Subject: Sha rps and Pharmaceuticals Program Summary The Sharps and Pharmaceuticals Program collects used sharps and pharmaceuticals and properly disposes of them for residents free of charge. Residents are able to dispose of their sharps and pharmaceuticals at four ph armacies located in Costa Mesa. These sharps and pharmaceuticals are placed in a specifically designed d rop box inside the pharmacy. Proper disposal of sharps and pharmaceuticals ensures the safety of the community and protects the environment . Staff is pr oviding the Operations Committee with a program update. Staff Recommendation Staff recommends the Operations Committee to receive and file this report. Analysis The purpose of the program ensures p roper disposal of discarded needles and other sharps to prevent health risk s to the public and waste workers. The program also prevents further contamination of pharmaceuticals in the water stream. The collection of sharps includes syringes, pen needles, and lancets. The collection of pharmaceuticals includ es any unneeded, “non -controlled,” prescription, and over -the - counter medications. In fiscal year 2011 -2012, the program collected a total of 836.50 lbs. in pharmaceuticals and a total of 1 ,379 lbs. in sharps. The performance data indicates that the mont h of March collected the highest amounts of pharmaceuticals and sharps. Operations Committee June 18 , 201 3 Page 2 of 3 In addition, the data indicates Steven’s Pharmacy as the location that generate d the most waste. The total cost of the program for that fiscal year was $14,544.75. The current fiscal year has experienced a steady increase in the amount of sharps and pharmaceuticals collected. The program has collected a total of 701 lbs. in pharmaceuticals and a total of 1 ,370.5 0 lbs. in sharps. Steven’s Pharmacy continues to be the location that gene rates the most waste. It would appear that the program has been successful based on the total amount of sharps and pharmaceuticals collected. The data from the program can be found in the following attachme nts (Attachment 1) that illustrate the total amo unt of pounds for pharmaceuticals and sharps collected. Below is a summary graph of the total pounds collected at each pharmacy: Total Pounds Collected 0 100 200 300 400 500 600 700 800 900 Sharps 156 383 447 393 Pharm.286 188 351.5 11 Harbor Ramsey Steven's White Front Strategic Plan Element & Goal This item complies with the objective and strategy of Strategic Element 2.0, Solid Waste, which states: “Objective: Our objective is to manage the collection and recycling of residential trash in the most economical and environmentally friendly way.” “Strategy : We will do this by looking for ways to improve efficienc ies, achieve high customer satisfaction, and considering prudent new recycling methods.” Legal Review Not applicable at this time. Operations Committee June 18 , 201 3 Page 3 of 3 Financial Review The District has budgeted $15,000 for the sharps program and $10,000 for the pharmaceutical program. St aff believes that adequate funds are available. Public Notice Process Copies of this report are on file and will be included with the complete agenda packet for the June 18 , 2013 Operations Committee meeting at District Headquarters and posted on the District’s website . Reviewed by: Javier Ochiqui Management Analyst Attachments 1 - Sharps and Pharmaceuticals Program Analysis FY 2011-2012 July Total Cost of Pharmaceuticals Total lbs. Collected (Sharps) Total Cost of Sharps Stop Fee Total Amount 2 Harbor Compounding $150.50 25 $180.50 $150.00 $481.00 Ramsey Rexall Drugs $49.50 38 $245.00 $200.00 $494.50 Steven's Pharmacy $90.00 41 $190.00 $150.00 $430.00 White Front Pharmacy $0.00 25 $95.00 $0.00 $95.00 August Total Cost of Pharmaceuticals Total lbs. Collected (Sharps) Total Cost of Sharps Stop Fee Total Amount 2 Harbor Compounding $103.50 0 $0.00 $75.00 $178.50 Ramsey Rexall Drugs $81.00 30 $100.00 $200.00 $381.00 Steven's Pharmacy $101.25 69 $190.00 $75.00 $366.25 White Front Pharmacy $0.00 32 $190.00 $0.00 $190.00 September Total Cost of Pharmaceuticals Total lbs. Collected (Sharps) Total Cost of Sharps Stop Fee Total Amount 3 Harbor Compounding $27.00 27 $285.00 $150.00 $462.00 Ramsey Rexall Drugs $54.00 66 $200.00 $300.00 $554.00 Steven's Pharmacy $171.00 55 $176.00 $225.00 $572.00 White Front Pharmacy $0.00 46 $190.00 $0.00 $190.00 October Total Cost of Pharmaceuticals Total lbs. Collected (Sharps) Total Cost of Sharps Stop Fee Total Amount 2 Harbor Compounding $45.00 14 $100.00 $75.00 $220.00 Ramsey Rexall Drugs $58.50 40 $100.00 $100.00 $258.50 Steven's Pharmacy $252.50 51 $170.00 $75.00 $497.50 White Front Pharmacy $0.00 35 $190.00 $0.00 $190.00 November Total Cost of Pharmaceuticals Total lbs. Collected (Sharps) Total Cost of Sharps Stop Fee Total Amount 1 Harbor Compounding $40.50 3 $100.00 $75.00 $220.00 Ramsey Rexall Drugs $31.50 32 $100.00 $100.00 $258.50 Steven's Pharmacy $36.00 13 $95.00 $75.00 $497.50 White Front Pharmacy $0.00 22 $95.00 $0.00 $190.00 December Total Cost of Pharmaceuticals Total lbs. Collected (Sharps) Total Cost of Sharps Stop Fee Total Amount 2 Harbor Compounding $221.00 10 $95.00 $75.00 $391.00 Ramsey Rexall Drugs $126.00 30 $100.00 $100.00 $326.00 Steven's Pharmacy $103.50 77 $190.00 $75.00 $368.50 White Front Pharmacy $0.00 72 $190.00 $0.00 $190.00 January Total Cost of Pharmaceuticals Total lbs. Collected (Sharps) Total Cost of Sharps Stop Fee Total Amount 0 Harbor Compounding Ramsey Rexall Drugs Steven's Pharmacy White Front Pharmacy 28 23 0 Total lbs. Collected (Pharmaceuticals) 8 0 Total lbs. Collected (Pharmaceuticals) 46 51 0 Total lbs. Collected (Pharmaceuticals) Total lbs. Collected (Pharmaceuticals) 9 7 6 12 38 0 10 13 Total lbs. Collected (Pharmaceuticals) Total lbs. Collected (Pharmaceuticals) 37 11 20 0 Total lbs. Collected (Pharmaceuticals) 23 18 22.5 0 Attachment 1 February Total Cost of Pharmaceuticals Total lbs. Collected (Sharps) Total Cost of Sharps Stop Fee Total Amount 0 Harbor Compounding Ramsey Rexall Drugs Steven's Pharmacy White Front Pharmacy March Total Cost of Pharmaceuticals Total lbs. Collected (Sharps) Total Cost of Sharps Stop Fee Total Amount 3 Harbor Compounding $238.50 32 $190.00 $175.00 $603.50 Ramsey Rexall Drugs $184.50 45 $200.00 $250.00 $634.50 Steven's Pharmacy $319.50 61 $285.00 $150.00 $754.50 White Front Pharmacy $0.00 67 $285.00 $0.00 $285.00 April Total Cost of Pharmaceuticals Total lbs. Collected (Sharps) Total Cost of Sharps Stop Fee Total Amount 2 Harbor Compounding $85.50 10 $95.00 $100.00 $280.50 Ramsey Rexall Drugs $58.50 51 $200.00 $150.00 $408.50 Steven's Pharmacy $391.50 25 $190.00 $100.00 $681.50 White Front Pharmacy $0.00 46 $190.00 $0.00 $190.00 May Total Cost of Pharmaceuticals Total lbs. Collected (Sharps) Total Cost of Sharps Stop Fee Total Amount 2 Harbor Compounding $49.50 21 $95.00 $25.00 $169.50 Ramsey Rexall Drugs $45.00 24 $200.00 $75.00 $320.00 Steven's Pharmacy $238.50 35 $95.00 $125.00 $458.50 White Front Pharmacy $49.50 21 $95.00 $125.00 $269.50 June Total Cost of Pharmaceuticals Total lbs. Collected (Sharps) Total Cost of Sharps Stop Fee Total Amount 2 Harbor Compounding $324.00 14 $95.00 $150.00 $569.00 Ramsey Rexall Drugs $157.50 27 $95.00 $200.00 $452.50 Steven's Pharmacy $126.00 20 $95.00 $150.00 $371.00 White Front Pharmacy $0.00 27 $95.00 $0.00 $95.00 TOTALS:$5,389.25 1379 $6,066.50 $4,050.00 $14,544.75 21 35 16 0 836.5 11 10 15 11 Total lbs. Collected (Pharmaceuticals) 72 Total lbs. Collected (Pharmaceuticals) Total lbs. Collected (Pharmaceuticals) 53 41 71 0 Total lbs. Collected (Pharmaceuticals) 19 13 87 0 Total lbs. Collected (Pharmaceuticals) Attachment 1 FY 2011-2012 Pharmaceuticals Pharmacy Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun Total Trend Harbor Compounding 37 23 6 10 9 46 0 0 53 19 11 72 286.00 Ramsey Rexall 11 18 12 13 7 28 0 0 41 13 10 35 188.00 Steven's Pharmacy 20 22.5 38 51 8 23 0 0 71 87 15 16 351.50 White Front Pharmacy 0 0 0 0 0 0 0 0 0 0 11 0 11.00 Total lbs. 68.00 63.50 56.00 74.00 24.00 97.00 0.00 0.00 165.00 119.00 47.00 123.00 836.50 10 20 30 40 50 60 70 80 90 100 Harbor Compounding Ramsey Rexall Steven's Pharmacy White Front Pharmacy Dec Nov Oct Sep Aug Jul Jun May Apr Mar Feb Jul Attachment 1 FY 2011-2012 Sharps Pharmacy Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun Total Trend Harbor Compounding 25 0 27 14 3 10 0 0 32 10 21 14 156.00 Ramsey Rexall 38 30 66 40 32 30 0 0 45 51 24 27 383.00 Steven's Pharmacy 41 69 55 51 13 77 0 0 61 25 35 20 447.00 White Front Pharmacy 25 32 46 35 22 72 0 0 67 46 21 27 393.00 Total lbs. 129.00 131.00 194.00 140.00 70.00 189.00 0.00 0.00 205.00 132.00 101.00 88.00 1379.00 10 20 30 40 50 60 70 80 90 100 Harbor Compounding Ramsey Rexall Steven's Pharmacy White Front Pharmacy Dec Nov Oct Sep Aug Jul Jun May Apr Mar Feb Jul Attachment 1 FY 2012-2013 July Total Cost of Pharmaceuticals Total lbs/vol. Collected (Sharps) Total Cost of Sharps Stop Fee Total Amount 3 Harbor Compounding $103.50 14.2 $100.00 $100.00 $303.50 Ramsey Rexall Drugs $81.00 25 $200.00 $100.00 $381.00 Steven's Pharmacy $166.00 46.8 $190.00 $150.00 $506.00 White Front Pharmacy $0.00 26.6 $190.00 $0.00 $190.00 August Total Cost of Pharmaceuticals Total lbs/vol. Collected (Sharps) Total Cost of Sharps Stop Fee Total Amount 3 Harbor Compounding $58.50 17.2 $200.00 $75.00 $333.50 Ramsey Rexall Drugs $117.00 35.6 $300.00 $300.00 $717.00 Steven's Pharmacy $225.00 48.8 $285.00 $225.00 $735.00 White Front Pharmacy $0.00 22.4 $285.00 $0.00 $285.00 September Total Cost of Pharmaceuticals Total lbs/vol. Collected (Sharps) Total Cost of Sharps Stop Fee Total Amount 3 Harbor Compounding $45.00 17.8 $200.00 $75.00 $320.00 Ramsey Rexall Drugs $18.00 79.4 $200.00 $100.00 $318.00 Steven's Pharmacy $45.00 50.2 $190.00 $75.00 $310.00 White Front Pharmacy $0.00 73.9 $285.00 $0.00 $285.00 October Total Cost of Pharmaceuticals Total lbs/vol. Collected (Sharps) Total Cost of Sharps Stop Fee Total Amount 3 Harbor Compounding $270.00 14.8 $190.00 $250.00 $710.00 Ramsey Rexall Drugs $121.50 11.2 $200.00 $200.00 $521.50 Steven's Pharmacy $225.00 41.4 $190.00 $225.00 $640.00 White Front Pharmacy $0.00 26.2 $190.00 $0.00 $190.00 November Total Cost of Pharmaceuticals Total lbs. Collected (Sharps) Total Cost of Sharps Stop Fee Total Amount 2 Harbor Compounding $0.00 16.4 $200.00 $100.00 $710.00 Ramsey Rexall Drugs $54.00 44.4 $200.00 $100.00 $521.50 Steven's Pharmacy $45.00 25.2 $190.00 $75.00 $640.00 White Front Pharmacy $0.00 53.8 $200.00 $0.00 $190.00 December Total Cost of Pharmaceuticals Total lbs. Collected (Sharps) Total Cost of Sharps Stop Fee Total Amount 3 Harbor Compounding $252.00 3.7 $200.00 $200.00 $652.00 Ramsey Rexall Drugs $10.00 68.8 $200.00 $200.00 $410.00 Steven's Pharmacy $135.00 43.4 $190.00 $150.00 $475.00 White Front Pharmacy $0.00 56.6 $100.00 $0.00 $100.00 January Total Cost of Pharmaceuticals Total lbs. Collected (Sharps) Total Cost of Sharps Stop Fee Total Amount 3 Harbor Compounding $252.00 39.4 $200.00 $300.00 $752.00 Ramsey Rexall Drugs $180.00 69.8 $200.00 $200.00 $580.00 Steven's Pharmacy $346.50 77.4 $190.00 $225.00 $761.50 White Front Pharmacy $0.00 92.8 $200.00 $0.00 $200.00 Total lbs. Collected (Pharmaceuticals) 56 40 77 0 0 50 0 Total lbs. Collected (Pharmaceuticals) 0 12 10 0 Total lbs. Collected (Pharmaceuticals) 56 24 30 27 13 26 50 0 Total lbs. Collected (Pharmaceuticals) 10 4 10 0 Total lbs. Collected (Pharmaceuticals) 60 Total lbs. Collected (Pharmaceuticals) Total lbs. Collected (Pharmaceuticals) 23 18 37 0 Attachment 1 February Total Cost of Pharmaceuticals Total lbs. Collected (Sharps) Total Cost of Sharps Stop Fee Total Amount Harbor Compounding $81.00 68.4 $200.00 $200.00 $481.00 Ramsey Rexall Drugs $90.00 48.7 $200.00 $200.00 $490.00 Steven's Pharmacy $135.00 57.4 $190.00 $150.00 $475.00 White Front Pharmacy $0.00 52.8 $200.00 $0.00 $200.00 March Total Cost of Pharmaceuticals Total lbs. Collected (Sharps) Total Cost of Sharps Stop Fee Total Amount Harbor Compounding $0.00 Ramsey Rexall Drugs $0.00 Steven's Pharmacy $0.00 White Front Pharmacy $0.00 April Total Cost of Pharmaceuticals Total lbs. Collected (Sharps) Total Cost of Sharps Stop Fee Total Amount Harbor Compounding $0.00 Ramsey Rexall Drugs $0.00 Steven's Pharmacy $0.00 White Front Pharmacy $0.00 May Total Cost of Pharmaceuticals Total lbs. Collected (Sharps) Total Cost of Sharps Stop Fee Total Amount Harbor Compounding $0.00 Ramsey Rexall Drugs $0.00 Steven's Pharmacy $0.00 White Front Pharmacy $0.00 June Total Cost of Pharmaceuticals Total lbs. Collected (Sharps) Total Cost of Sharps Stop Fee Total Amount Harbor Compounding $0.00 Ramsey Rexall Drugs $0.00 Steven's Pharmacy $0.00 White Front Pharmacy $0.00 TOTALS:$3,056.00 863.8 $4,875.00 $2,700.00 $10,444.00 20 460 Total lbs. Collected (Pharmaceuticals) Total lbs. Collected (Pharmaceuticals) Total lbs. Collected (Pharmaceuticals) Total lbs. Collected (Pharmaceuticals) 18 20 30 0 Total lbs. Collected (Pharmaceuticals) Attachment 1 FY 2012-2013 Pharmaceuticals Pharmacy Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun Total Trend Harbor Compounding 23 13 10 60 0 56 56 18 0 0 0 0 236.00 Ramsey Rexall 18 26 4 27 12 24 40 20 0 0 0 0 171.00 Steven's Pharmacy 37 50 10 50 10 30 77 30 0 0 0 0 294.00 White Front Pharmacy 0 0 0 0 0 0 0 0 0 0 0 0 0.00 Total lbs. 78.00 89.00 24.00 137.00 22.00 110.00 173.00 68.00 0.00 0.00 0.00 0.00 701.00 10 20 30 40 50 60 70 80 90 Harbor Compounding Ramsey Rexall Steven's Pharmacy White Front Pharmacy Dec Nov Oct Sep Aug Jul Jun May Apr Mar Feb Jul Attachment 1 FY 2012-2013 Sharps Pharmacy Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun Total Trend Harbor Compounding 14.2 17.2 17.8 14.8 16.4 3.7 39.4 68.4 191.90 Ramsey Rexall 25 35.6 79.4 11.2 44.4 68.8 69.8 48.7 382.90 Steven's Pharmacy 46.8 48.8 50.2 41.4 25.2 43.4 77.4 57.4 390.60 White Front Pharmacy 26.6 22.4 73.9 26.2 53.8 56.6 92.8 52.8 405.10 Total lbs. 112.60 124.00 221.30 93.60 139.80 172.50 279.40 227.30 0.00 0.00 0.00 0.00 1370.50 10 20 30 40 50 60 70 80 90 100 Harbor Compounding Ramsey Rexall Steven's Pharmacy White Front Pharmacy Dec Nov Oct Sep Aug Jul Jun May Apr Mar Feb Jul Attachment 1