Recycling Unused Medicine

Across the country, nursing homes destroy thousands of dollars in medicine at each facility every day. The medicine is still good. But destroying the drugs has been the traditional way to keep prescription medication out of the wrong hands. A new federal directive might encourage more nursing homes to recycle unused medicines for the use of the poor. The GLRC’s Lisa Ann Pinkerton reports:

Transcript

Across the country, nursing homes destroy thousands of dollars in
medicine at each facility every day. The medicine is still good. But
destroying the drugs has been the traditional way to keep prescription
medication out of the wrong hands. A new federal directive might
encourage more nursing homes to recycle unused medicines for the use
of the poor. The GLRC’s Lisa Ann Pinkerton reports:


In her nursing home room, Genevieve Barns gazes out the window. A
black rosary is draped over her lap. She’s 94 and an oxygen
concentrator, bubbles behind her to help her breathe. She says even this
late in life she’s still abiding by her mother’s lessons.


“It’s a matter of how we were raised, you never wasted anything.”


Barns was on a common medication called Mucinex, to keep her
throat clear, but her doctor took her off of it. Normally, her unused
Mucinex would be sent back to the pharmacy for destruction, but Barns’
nursing home contributes it to a so-called ‘drug repository.’ Barns says it
was a simple choice to give medicine she can’t use to needy seniors.


“Well, everything is so expensive, and when you waste… you’re just
squandering things that should be used by someone.”


Four years ago, Ohio became the first state to recycle sealed, unused
medicine to seniors in need. Ever since, its two drug repositories have
struggled to get more participation. The drugs can’t be redistributed until
there’s enough of any one drug to make a 30 day supply. Then it’s made
available to seniors who otherwise couldn’t afford it.


At Genevieve Barns’ nursing home, the administrator, Denise Day,
collects the drugs in a blue plastic tote…


“We don’t have a huge cliental in this building at this time, but the
amount of medications that get sent back is still quite incredible.”


The bin in Day’s office is filled with pills and bottles sealed in their
packaging. She says what’s here comes from patients covered by
Medicaid; unused medicines covered by Medicare or private insurance
must to go back to the pharmacy for incineration before patients can get
their refund. Day says still, about 2-thousand dollars worth a month,
from just 34 patients, are recycled by the group called Serving Our
Seniors.


Its director, Susan Daugherty, says if every nursing home in her county
donated from just half their patients, the results would be astounding.


“Honestly we could meet and probably exceed the need of older adults
who’ve needed access to drugs that are common to the aging
populations. It could do a whole lot of good with a whole lot of waste.”


The drugs in this region are taken to Buderer Pharmacy. It’s become the
local drug repository. In the backroom shelves of medication go all the
way to the ceiling.


Matt Buderer is the pharmacist. He says the drugs are checked for their
expiration dates and whether they’re eligible for donation.


“And then what we want to do is take these drugs and poke them out of
this thing into a bottle. Making sure that what goes on the bottle is the
lot and expiration date.”


Seniors who’ve signed a waiver and received a card from Serving Our
Seniors can then buy any medication for a flat fee of 7 dollars and 40
cents.


“You can dispense one tablet. You can dispense 15. You can dispense a
billion for $7.40.”


Ohio’s not the only state with a drug repository program. At least
nineteen other states have mimicked the idea. Some states have had
more success than others.


In North Carolina the Board of Pharmacy says it recycles 5 to 6 million
dollars of drugs paid by tax payers every year. That’s a lot more than
Ohio’s program.


Buderer says his state could be matching those numbers, if only there
were more participation.


“There’s good public knowledge out there that large quantities are picked
up daily and incinerated that could be used. So I’m sure that a large
institutional pharmacy knowing that… certainly isn’t saying ‘well, we
don’t care.'”


Buderer says liability is often the reason given for not participating in
the drug repositories. The state’s largest nursing home corporation and
wholesale pharmacy. Both declined to comment for this story.


But now, there might be a bigger incentive. In April, the federal government
announced it will hold nursing home facilities financially accountable for
medicines going unused by patients. The states can still redistribute medicines,
as long as documents show the federal government isn’t paying for the same item
twice, and this acknowledgement of waste with in the system, might just be the
national push drug repositories need to move into the mainstream.


For the GLRC, I’m Lisa Ann Pinkerton.

Related Links

Fda to Phase Out Cfcs in Inhalers?

The U.S. Food and Drug Administration may soon take a step that could help the ozone layer. Health officials say they might phase out certain types of asthma inhalers that use chlorofluorocarbons or CFCs. The Great Lakes Radio Consortium’s Christina Shockley has more:

Transcript

The U.S. Food and Drug Administration may soon take a step that could
help the ozone layer. Health officials say they might phase-out certain
types of asthma inhalers that use chlorofluorocarbons or CFCs. The Great
Lakes Radio Consortium’s Christina Shockley has more:


Since the early 1990’s, CFCs were banned from use in things such as car
air conditioners and aerosol cans. But they were still allowed to be used in
devices deemed medically necessary.


These include some types of asthma inhalers that contain very small
amounts of CFC gas to propel medicine into the lungs.


Now, health officials say there might be an alternative to the ozone-
depleting gas. They say hydrofluoroalkane, or HFA, gas works just as
well.


Doctor Robert Meyer evaluates drugs for the FDA. He says the new ban
may seem like a small step, but the overall picture matters most.


“We’re not really in the business of questioning whether this individual use
is in and of itself impacting much on the environment, we’re really looking
at the overall picture, and this action is a part of that picture.”


The FDA is asking the public for feedback on the possible phase-out.


For the Great Lakes Radio Consortium, I’m Christina Shockley.

Related Links

“Biosafety Engineers” for Gmo Industry?

  • According to the USDA, 40% of the corn grown this year in the U.S. has been genetically modified. Some researchers fear there's not enough oversight on the rapidly growing biotech industry. A program at the University of Minnesota wants to create a new profession - the 'Biosafety Engineer.' (photo courtesy of the USDA)

Genetic engineering – especially when it comes to food – is a battleground. On one side: people who fear a world of contaminated food, harming humans and the environment. The other side fears we’ll miss an opportunity to prevent hunger and disease. Now there’s a ground breaking initiative that might produce compromise. The Great Lakes Radio Consortium’s Mary Stucky reports that some researchers think safety can be built into the bio tech industry:

Transcript

Genetic engineering – especially when it comes to food – is a
battleground. On one side: people who fear a world of contaminated
food, harming humans and the environment. The other side fears
we’ll miss an opportunity to prevent hunger and disease. Now, there’s
a ground breaking initiative that might produce compromise. The Great
Lakes Radio Consortium’s Mary Stucky reports that some researchers
think safety can be built into the bio tech industry:


To remove a gene from one organism and transfer it to another…
that’s genetic engineering. Genetically modified or GM crops are
easier to grow, according to bio tech supporters and in the future
might be more nutritious. But they also might contain hidden
allergens, because they use genes from a plant or animal that
people might be allergic to. And there are concerns that GM crops
might harm the environment by crossbreeding with natural plants in
the wild. And so the University of Minnesota is proposing a
solution – an entirely new profession – call them biotech safety
engineers – along with a new science of bio safety. Anne
Kapuscinski is a researcher at the University of Minnesota and a
force behind the initiative called Safety First. Kapuscinski says
rather than regulating the industry after a new product is developed,
companies should prove safety first.


“It will mean that some ideas that will be on the lab bench won’t go
any further in development because the developers
will realize there are safety concerns that we don’t know how to
mitigate, or how to prevent from happening or how to address.”


And that could save companies money… by avoiding costly mistakes
such as the Starlink corn debacle. That’s when genetically modified
corn accidentally mixed with conventional corn and got into dozens of
foods. Kapuscinski says it was common knowledge in the industry that
the corn could get mixed up because of the way it’s transported and
stored… which might have been avoided with uniform safety standards
and government oversight. But until now, industry has resisted that.
They’ve been touting the benefits rather than the risks such as this
ad campaign put out by a group called the Biotechnology Industry
Organization.


(music under)


“Biotechnology, a big word that means hope.”


But one expert says if the industry wants to inspire public
confidence, it should support the Safety First initiative. John
Howard is the founder of a Texas based biotech firm called
ProdiGene. Not all biotech companies support the University of
Minnesota effort, but Howard thinks it has a good chance of
alleviating public concerns.


“The problem is, however, if you do it yourselves, what
credibility do you have as a company promoting your own safety
assessment? So an independent agency or source that comes out
and says, ‘Look, this is now credible, we’ve looked at all the safety
issues,’ that’s great, and if they find something that we’ve missed
then fine, we want to do it that way.”


John Howard says his company is working to bio-engineer corn to
deliver drugs. For instance, if you need insulin you could have it
in your breakfast cereal.


Opponents of bio tech say we don’t know all of the ramifications of
engineering drugs into food or altering the genetics of any organism,
but John Howard thinks we know enough to be safe.


“You can always argue that we just don’t know
enough yet and that’s an argument that can go on and on. And this
applies to everything that we think about in terms of risk. But
what you can do is look at a risk benefit equation. There’s
no question this is a for-profit company, let’s not make any mistake,
but not at the expense of harming people.”


And supporters say the Safety First initiative will see to that.
Lawrence Jacobs is a political scientist at the University of
Minnesota and a leader in Safety First. Jacobs says, like it or not,
GM food is here to stay.


“If we do not find some credible way to address the biosafety issues in
biotechnology, we are heading for a major maelstrom. The challenge
that’s out there now for the biotechnology industry right now is get
your act together. And the potential for consumers to panic in this
country is significant.”


Of course safety standards are already engineered into the
manufacturing of airplanes and cars. But will that work in an
industry which is manufacturing a living thing?


Supporters of the Safety First initiative say there’s too little
oversight on an industry that could have much greater impact on health
and the environment.


For the Great Lakes Radio Consortium, I’m Mary Stucky.

Related Links

Marketplace Ready for Soybean Sunscreen?

Scientists at the USDA Agriculture Lab in Peoria may have discovered a way to protect skin from sun damage without harming the environment. The Great Lakes Radio Consortium’s Tanya Koonce reports the new mixture has a soybean or vegetable oil base:

Transcript

Scientists at the USDA Agriculture Lab in Peoria may have discovered a way to protect skin from
sun damage without harming the environment. The Great Lakes Radio Consortium’s Tanya
Koonce reports the new mixture has a soy bean or vegetable oil base:


Right now most sunscreens are made from a cream or petroleum base that doesn’t break down in
the water. Two scientists at the Ag Lab in Peoria think they may have a way to remedy that by
using soybean oil and another plant based product called ferulic acid. Joe Lazslo is the lead
scientist who came up with the idea.


“The ferulic acid is present in plants. And if plants were worried about getting sunburned they
already have their sunscreen present. We’re just taking it out of plants and putting it into
soybean oil so that it can then be incorporated into cosmetics or other suntan lotions, that type of
thing.”


Laszlo and his colleague Dave Compton are standing in the lab next to a bottle of Kroger brand
vegetable oil. They use the same soybean oil in the lab you’d buy at the store. Lazslo says it gets
the job done. He says they’ve been working on their so-called soy screen mixture for
more than a year:


“There are many aspects or uses of the process that we are doing right now that are very
environmentally sound. We don’t pollute with this process. All the starting materials and
products are very environmentally benign. That means Soy Screen itself does not accumulate in the
environment. It’s biodegradable. All these types of things.”


Lazslo says most importantly Soy Screen doesn’t build up in the water supply. But because it’s
just barely out of the lab, doctors and other scientists are not willing to weigh in on its pros or cons
for human use. Specifically they are quiet on the dermatological effects – like whether the
vegetable oil-based product clogs skin pores.


But Lazslo says other scientists have found anti-oxidants like ferulic acid prevent wrinkling and protect against the sun’s rays that are known to cause
skin cancer. He says before Soy Screen makes its way into face lotions and other consumer
products licensing companies will have to confirm these claims.


While doctors aren’t ready to sing the praises of Soy Screen, soybean growers are. In the best
case scenario, Soy Screen would require about a million pounds of soybean oil each year. That
just barely scratches the surface
of the 800 million pound annual surplus. But the Soybean Growers Association’s Theresa Miller
says it does have an impact on public perception.


“We always are looking for any new use that might develop. You know as much as anything, of
course getting a product like a soy sunscreen or soy crayons or some of these uses that maybe don’t
mean a lot in terms of bushels, they do mean a lot in terms of public relations. In terms of getting
the word soy out in front of consumers and making them more aware of what all those soybeans out in
the field get used for.”


Soy Screen is likely years away from receiving the FDA’s blessing, despite the perks it may offer
the environment and soybean growers. Co-developer Dave Compton says it takes several years
and several million dollars for the FDA to approve something as a sun block:


“Currently the FDA regulates these active ingredients as “category one” drugs. So you have to have
FDA approval to claim an SPF. So before you will see a packaged retail item with the word Soy
Screen and an SPF we would have to go through an FDA approval of the Soy Screen.”


Compton says in the meantime Soy Screen will likely work its way into cosmetic products that
claim anti-aging effects. He says the money earned from its use in those anti-aging cosmetics will
help defray the cost of the FDA approval process. For the Great Lakes Radio Consortium, I’m
Tanya Koonce.

Interview With Mark Plotkin

  • Plotkin is the president of the Amazon Conservation Team, a group working to preserve the cultures and species in the rainforests of Central and South America.

Last year Time magazine named researcher Mark Plotkin an
environmental "Hero for the Planet." Plotkin has spent nearly 20 years
in
the rain forests of Central and South America, and is working to save
not
only the forests, but also the tribes who live there. He’s just
finished a
new book entitled "Medicine Quest: In Search of Nature’s Healing
Secrets." In it he argues that many ancient tribes of the forests
understand
plants better than botanists. The Great Lakes Radio Consortium’s Lester
Graham recently talked with Plotkin and asked about his work:

Related Links

DRUG COURTS TRY TO END CYCLE OF ABUSE (Part 1)

According to a report from the National Institute on Drug Abuse, the economic cost of drug-related crime is about fifty billion dollars a year. Much of that amount goes toward incarcerating offenders. But many of these people are nonviolent, low-level drug users… and now, instead of locking them up, some court systems are trying a different approach. In the first of a two part series, the Great Lakes Radio Consortium’s Wendy Nelson examines the growing trend of drug courts:

ARE DRUG COURTS THE BEST APPROACH? (Part 2)

In 1989, the country’s first drug court was set up in Dade County, Florida. It was designed as a way to reduce prison overcrowding. Today, there are more than three hundred fifty drug courts operating around the country, with another two hundred in the planning stages. But not everyone’s happy with that growth. In the second of a two-part series, the Great Lakes Radio Consortium’s Wendy Nelson reports that some people are questioning whether courts are the best place to deal with substance abuse:

Government Ropes in Hemp Growers

Hemp is big business. In the U.S., industry is expected to top 100
million dollars in sales this year. But the government keeps close tabs
on the plant’s use. That’s because marijuana is part of the hemp
family. As the Great Lakes Radio Consortium’s Karen Kelly reports,
that’s led to a crack down on some hemp products:

New Research in Drug Development

Scientists say they might have found a more efficient way to produce drugs
and chemicals from plants. The Great Lakes Radio Consortium’s Lester Graham
reports… it might reduce the cost of developing drugs:

Herbal Remedies Moving Mainstream

There are thousands of herbal products on the market today.
They generate over 4 billion dollars in sales a year. And many doctors
are taking more notice. Some physicians see a need for more credible
research on herbs and minerals. And they want other doctors to
communicate more with patients that are considering using these
products. Now one doctor has designed some guidelines on herbal
treatments. He hopes this will initiate more discussion and research
about these dietary supplements. The Great Lakes Radio Consortium’s
Todd Witter has more.