The Medical Minute: Improper disposal of needles and syringes poses problems

With the growing number of patients who self-inject medications at home, the number of needles that need to be disposed of is growing, as well.

The U.S. Food and Drug Administration recommends that these items be placed in an approved container and be taken to a facility with the ability to properly destroy them. Unfortunately, these services are not always available.

To address this expanding concern, the staff at Penn State Health Milton S. Hershey Medical Center will be accepting needles and syringes as part of its Drive-Thru Prescription Drug Take-Back event on Saturday, April 30 from 10 a.m. to 2 p.m. at the Academic Support Building, 90 Hope Drive. The event is offered for the safety and convenience of the community, providing free, easy, and safe disposal of unwanted, unneeded or expired medications.

According to Kimberly Cimarelli, pharmacy manager at the Medical Center, the service of accepting needles and syringes was added to the drug take-back initiative at the Medical Center last year because of the lack of free or inexpensive options.

“There are many places, like police stations, that will take┬ámedications, but they do not take needles and syringes,” Cimarelli said. “The question becomes about how our patients can safely dispose of needles and syringes.”

These items are usually disposed of using expensive mail order programs.

“It can be anywhere from $50 to $200 based on the size of the container,” Cimarelli said. “If you're getting multiple injections per day, that can be quite costly.”

In 2013, the American Nurses Association (ANA) estimated the number of needles used at home was quickly approaching 8 billion. That number did not include devices, such as lancets and other such instrumentation, used by patients with diabetes to prick their fingers.

According to the ANA, injectable medications include those used to treat osteoporosis, multiple sclerosis, HIV, hepatitis C, cancer, infertility, allergies and psoriasis.

“An increasing number of patients are getting their medications at home and need to give themselves injections,” she said.

Cimarelli believes that the cost and lack of convenience are the reasons people resort to improperly disposing of sharps in the trash, which causes safety concerns.

“Discarding needles and syringes in the regular trash could cause harm to your trash collectors, children, and caregivers, as well as pets that may get into the garbage,” Cimarelli said. “There is also the risk of transferring diseases, such as hepatitis C, which could be transferred up to a significant time frame, if someone should be injured by an infected needle.”

In the absence of an FDA-approved container, some people have used laundry detergent containers. These containers still need to be marked as a ‘biohazard' and disposed of correctly.

“State regulators do not provide written recommendations for disposing of sharps, but it is the responsibility of the patient to dispose of them properly,” she said.

Needle destruction and melting devices are another option, but both are costly, as well.

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The Medical Minute is a weekly health news feature produced by Penn State Health Milton S. Hershey Medical Center. Articles feature the expertise of faculty physicians and staff, and are designed to offer timely, relevant health information of interest to a broad audience.

April 21, 2016 Penn State Health News

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