Death, Detection, Diversion, & Disposal: Utah Case Study

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1 ww.useonlyasdirected.org Death, Detection, Diversion, & Disposal: Utah Case Study Presented by: Erin Johnson, MPH, Utah Department of Health Elizabeth Sollis, CSW, Utah Dept. of Human Services Lynnette Wingert, DEA, Salt Lake City District Leah Ann Lamb, M.S., Utah DEQ, Division of Water Quality October, 2009

2 Erin Johnson, MPH, Utah Department of Health Drug Poisoning Deaths by Manner and Year Utah

3 Death: The Bottom Line Prescribable drugs kill more Utahns each year than illicit drugs Year Illicit Overdose Deaths Combo (both Illicit and Nonillicit) Non-illicit Overdose Deaths *Drug overdoses investigated by OME that are accidental or undetermined intent

4 Substances Involved in Non-illicit Overdose Deaths of Accidental or Undetermined Intent-2008

5 Drug Overdose Cases in cases of accidental or undetermined intent investigated by OME 89 illicit drugs only Mean age = 36.3 yrs Range % male 11% involve alcohol 9 counties 9 health districts 41 combination of illicit and non illicit Mean age = 39.7 yrs Range % male 7% involve alcohol 10 counties 10 health districts 277 non illicit drugs only Mean age = 40.3 yrs Range 1 80 (only 2<18 yrs) 52% male 11% involve alcohol 82% involve opioids 22 counties 12 of 12 heath districts

6 Number of Non-Illicit, Accidental and Intent Undetermined Deaths by Year & Drug Methadone Hydrocodone Oxycodone Fentanyl

7 Elizabeth Sollis, CSW, Utah Dept. of Human Services Detection

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15 Lynnette Wingert, DEA, Salt Lake City District DIVERSION

16 Leah Ann Lamb, M.S., Utah DEQ, Division of Water Quality Proper Medication Disposal /

17 Leah Ann Lamb, M.S., Utah DEQ, Division of Water Quality DEQ Role: Pollution Prevention Pharmaceuticals and Personal Care Products (PPCPs) are pollutants

18 Leah Ann Lamb, M.S., Utah DEQ, Division of Water Quality DEQ Role: Pollution Prevention Crush and Flush No wastewater treatment

19 How It Began Drinking Water/Substance Abuse May 2007 Request for Funding Florence Reynolds of Salt Lake City Public Utilities Captain Armand Glick of SL County Sheriff s Office

20 COMPLIANCE WITH RCRA Disposal options for HOUSEHOLDS only RCRA exemption for household hazardous waste This program does not address medical, pharmacy, schools, long-term care, or other facilities that may accumulate unused medications and are regulated under FDA, DEA, DOPL rules

21 GRANT PROGRAM Drug Collection for Proper Disposal Grant program. $1,000 one-time funding Collection boxes Signage Evidence handling Incineration Advertising Associated expenses

22 GRANT PROGRAM REQUIREMENTS Drug Collection for Proper Disposal Policy Incineration at a DEQ permitted incinerator Compliance with DEA Requirements Reporting pounds to DEQ Locked collection bins accessible, monitored, lobby Anonymous disposal Advertising of the program through normal communications with the pubic.

23 COMMUNITY SPECIAL EVENT COLLECCTIONS COMMUNITY SPECIAL EVENT COLLECCTIONS: Household Hazardous Waste Collections SLC Senior Housing Smith s Food and Drug Store Be Well Fair at University of Utah Intermountain Health Care Clinics Senior Fairs

24 RESULTS $20,000 in grants awarded - another $50,000 grant secured 30 Bins in 10 of 24 counties Sponsored Community Events: ~ $3,000 Partnerships

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26 RESULTS Pounds of Medications Collected since 2007: Bins: 5,000 5 Senior Housing Facilities: 20 Supermarkets: 214 University Health Fair: 51.6 O.T.C.: 19.0 Non-Controlled Prescription: 27.6 Controlled Prescriptions: 5

27 Next Steps State Legislation Consistent Messaging and Branding Do Not Flush! Do Not Pour! Don t Make the Fish Do Drugs! Clean Out the Cabinet Know Where They Go TM Proper Disposal of Prescription and Over-the- Counter Drugs in Utah Clean Out Your Medicine Cabinet

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30 You Can Protect Families and the Environment by Properly Disposing of Prescription Drugs

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34 Contact Us Erin Johnson: Elizabeth Sollis: Lynnette Wingert: Leah Ann Lamb: