Disposal practices for unused medications in New Zealand

BackgroundThere is an enhanced international awareness that the improper disposal of unwanted and unused medications may have a detrimental effect on the environment.ObjectivesThe aim of this study was to determine the proportion of unused medications in New Zealand that are not returned to a pharmacy for disposal and are instead disposed of via land fill or water systems. In addition, this study intended to identify why these medications were unused or unwanted.DesignAn online survey was placed on the New Zealand National Poisons Centre website for a period of three months during 2008. This consisted of a series of questions with predefined answer sets and asked about collection of medications, why there may be unused medications, storage of medications and disposal of medications.ResultsThis survey was completed by 452 individuals. 62% of respondents currently had unwanted medications in their house. The most common reason for people to have leftover medication was ‘medical condition improved or resolved’ (n = 307). Depending on formulation type, between 13–24% of unused medications were returned to pharmacies with tablets and capsules being most likely to be returned and liquids most likely to be added to water systems.ConclusionsA significant percentage of unwanted medications are disposed of via routes that have the potential to adversely affect the environment. Reducing excess medications and wastage as well as education of appropriate disposal techniques may minimize their potential impact on the environment.     

Disposal practices for unused medications around the world

Pharmaceuticals have been detected throughout the environment where at least in some cases, they have been shown to have a detrimental effect. Many result from improper patient disposal of unused pharmaceuticals via environmentally-unfriendly routes, such as the sink, toilet or rubbish bin. This review surveys the current peer-reviewed literature on attitudes and practices to medicine disposal methods as reported by patients and the various medication disposal and destruction systems around the world. A literature search was carried out using the keywords 'medicines disposal', 'unused medicines', 'medicines wastage', and 'medication disposal' in the PubMed TM, ISI Web of Knowledge TM, Google Scholar TM, Medline TM, Scopus TM and International Pharmaceuticals Abstracts TM up to the end of May 2010. Twelve peer-reviewed articles with specified sample sizes were selected. The most popular methods for medication disposal were in the garbage, toilet or sink. Liquid medications were more likely to be rinsed down the sink, as opposed to solid tablets and capsules which were more likely deposited in the rubbish bin. Much confusion exists about the 'proper' way of medication disposal as many countries do not have standard medication disposal protocols. Furthermore, some pharmacies around the world refused to accept unused medications or discouraged the practice. Patients with knowledge about the impact of pharmaceuticals in the environment were more likely to return medications for proper disposal and destruction. It is concluded that it is of paramount importance that a formalized protocol for patient disposal and destruction of pharmaceuticals be implemented around the world.     

Importance of conserving large and old trees to continuity of tree-related microhabitats

Protecting structural features, such as tree-related microhabitats (TreMs), is a cost-effective tool crucial for biodiversity conservation applicable to large forested landscapes. Although the development of TreMs is influenced by tree diameter, species, and vitality, the relationships between tree age and TreM profile remain poorly understood. Using a tree-ring-based approach and a large data set of 8038 trees, we modeled the effects of tree age, diameter, and site characteristics on TreM richness and occurrence across some of the most intact primary temperate forests in Europe, including mixed beech and spruce forests. We observed an overall increase in TreM richness on old and large trees in both forest types. The occurrence of specific TreM groups was variably related to tree age and diameter, but some TreM groups (e.g., epiphytes) had a stronger positive relationship with tree species and elevation. Although many TreM groups were positively associated with tree age and diameter, only two TreM groups in spruce stands reacted exclusively to tree age (insect galleries and exposed sapwood) without responding to diameter. Thus, the retention of trees for conservation purposes based on tree diameter appears to be a generally feasible approach with a rather low risk of underrepresentation of TreMs. Because greater tree age and diameter positively affected TreM development, placing a greater emphasis on conserving large trees and allowing them to reach older ages, for example, through the establishment of conservation reserves, would better maintain the continuity of TreM resource and associated biodiversity. However, this approach may be difficult due to the widespread intensification of forest management and global climate change.