MEDICINES WASTE POLICIES AND THE POPULATION KNOWLEDGE IN BRAZIL
DOI:
https://doi.org/10.22159/ijpps.2019v11i4.27907Keywords:
Environmental Education, Public health, Environmental contamination, and drugsAbstract
Objective: To investigate the degree of knowledge of the patients enrolled in the Unified Health System of the Medicine School of ABC (Faculdade de Medicina do ABC) regarding the proper use and disposal of medicaments.
Methods: Participants were recruited for convenience, during their medical appointments at the clinic of the Medical School of ABC (Santo André, Sao Paulo, Brazil) in the period from 04 August to 30 September 2014. Data collection was conducted through a self-administered poll designed specifically for the purpose of this study, which consisted of 25 questions multiple choice about socioeconomic issues and the subject disposal of drugs, consumption and environmental pollution.
Results: We selected the 140 patients’ polls. Most of them is of white ethnicity (58%) and female (58%). Level of education: 31% have completed secondary education (31%) or incomplete graduation (19%). Most of the participants (76%) buy drugs without a prescription, and most families (76%) seek understanding by reading the labels. 71.43% reported knowing that incorrect disposal of drugs could contaminate the environment, but 78% reported never having seen or received information about these. After using, 22.15% maintains the medication at home for future use, 55% of subjects reported improper disposal sites and 13% are delivered in health care institutions.
Conclusion: Our study has showed that most participants inappropriately use and dispose of drugs, even though they know they can contaminate the environment.
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Cussiol NAM, Rocha GHT, Lange LC. Quantificacao dos resíduos potencialmente infectantes presentes nos resíduos sólidos urbanos da regional sul de Belo Horizonte, Minas Gerais, Brasil. Cad Saude Publ 2006;22:1183-91.
Naime R, Sartor IS, Garcia AC. Uma abordagem sobre a gestão de resíduos de servicos de saude. Rev Espac Saude 2004;5:17-27.
Kumar K, Singh PK, Tomar J, Baijal S. Dengue: epidemiology, prevention and pressing need for vaccine development Asian Pacific. J Trop Med 2010;3:997-1000.
Alhumaimess M. Gold nanoparticles supported on carbon derived from solid olive waste for epoxidation of cyclootene. Asian J Chem 2018;30:1731-5.
Ushizima MM, Marins FAZ, Junior JM. Politica nacional de residuos: cenario da legislacao Brasileira com foco nos residuos eletroeletronicos. SEGet; 2014. p. 16-21.
Garcia LP, Ramos BGZ. Gerenciamento dos residuos de serviços de saude: uma questao de biossegurança. Cad Saude Publ 2004;20:744-54.
Nascimento TC, Januzzi WA, Leonel M, Silva VL, Diniz CG. Ocorrencia de bacterias clinicamente relevantes nos residuos de servicos de saude em um aterro sanitário brasileiro e perfil de susceptibilidade a antimicrobianos. Rev Soc Bras Med Trop 2009;42:415-9.
Silva CB, Liporone F. Deposicao irregular de resíduos solidos domesticos em Uberlandia: algumas consideracoes. Rev Eletronica Geografia 2011;2:22-35.
Alves SB, Souza ACS, Tipple AFV, Rezende KCD, Rezende FR, Rodrigues EG. Manejo de resíduos gerados na assistência domiciliar pela estrategia de saude da familia. Rev Bras Enferm 2012;65:128-34.
Maia M, Giordano F. Estudo da situacao atual de conscientizacao da populacao de santos a respeito do descarte. Rev Ceciliana 2012;4:24-8.
Ueda J, Tavernaro R, Marostega V, Pavan W. Impacto ambiental do descarte de farmacos e estudo da conscientizacao da populacao a respeito do problema. Rev Cienc do Amb 2009;5:1-6.
Barcelos MN, Peres AP, Pereira IO, Chavasco LS, Freitas DF. Aplicacao do metodo fmea na identificacao de impactos ambientais causados pelo descarte domestico de medicamentos. Eng Amb 2011;8:62-8.
Padro MA, Melo DS, Machado KM, Santos SLV, Gir E, Canini SEMS, et al. Residuos potencialmente infectantes em serviços de hemoterapia e as interfaces com as doenças infecciosas. Rev Bras Enferm 2014;57:706-11.
Bila DM, Dezotti M. Farmacos no meio ambiente. Quim Nova 2003;26:523-30.
Nurolaini K, Wong WS, Li Ling C. The extent of medicine wastages in a tertiary hospital in brunei: 10 y’ retrospective study from 2006 to 2016. Asian J Pharm Clin Res 2018;11. Doi https://doi.org/10.22159/ajpcr.2018.v11i7.24789.
Carvalho EV, Ferreira E, Mucini L, Santos C. Aspectos legais e toxicologicos do descarte de medicamentos. Rev Bras Tox 2009;22:1-8.
Schenkel EP, Fernandes LC, Mengue S. Como sao armazenados os medicamentos nos domicilios? Acta Farm Bonaerense 2005;24:266-70.
Ikeda Y. Importance of patient education on home medical care waste disposal in Japan. Waste Management 2014;34:1330–4.
Vaz KV, Freitas MM, Cirqueira JZ. Investigacao sobre a forma de descarte de medicamentos vencidos. Cenarium Pharmaceutico 2011;4:3-27.
Homedes N, Ugalde A, Chaumont C. Scientific evaluations of interventions to improve the adequate use of pharmaceuticals in Third World countries. Public Health Rev 2001;29:207-30.
Assuncao JV, Pesquero CR. Dioxinas e furanos: origens e riscos. Rev Saude Publ 1999;33:523-30.
Kummerer K. The presence of pharmaceuticals in the environment due to human use–present knowledge and future challenges. J Environ Manage 2009;90:2354-66.
Almeida GA, Weber RR. Farmacos na represa billings. Rev Saude Amb 2005;6:13-7.
Fernandes LC, Petrovick PR. Os medicamentos na farmacia caseira. In: Schenkel EP. Cuidados com os medicamentos. 4. ed. Porto Alegre (RS): Editora da UFRGS; 2004.
Falqueto E, Kligerman DC, Assumpcao RF. Como realizar o correto descarte de resíduos de medicamentos?. Cienc Saude Coletiva 2010;15:3283-93.
Eickhoff P, Heineck I, Seixas LJ. Management and medicines’ disposal: a discussion about the problem. Rev Bras Farm 2009;90:64-8.
Miranda AC. Desenvolvimento de um metodo para monitoramento da contaminacao do solo pelo farmaco azitromicina: uma abordagem sustentavel. São Paulo Dissertacao [Mestrado em engenharia de produção]–Universidade Nove de Julho; 2013.
(Secretaria do estado de São Paulo [Associação de combate aos poluentes]. Divisão Técnica de Ações Sobre Meio Ambiente. Available from: http://www.acpo.org.br/medicamentos/ norma.pdf).
Kummerer K. The presence of pharmaceuticals in the environment due to human use–present knowledge and future challenges. J Environ Manage 2009;90:2354-66.
Pereira Primo L, Rodrigues JPV, Ferreira IML, Dewulf NLS, Abramovicius AC. Gerenciamento de medicamentos em desuso devolvidos por pacientes ambulatoriais de um hospital universitario. Rev Cienc Farm Basica Appl 2014;35:263-9.
Tessaro PR, Zancanaro V. Recolhimento e descarte dos medicamentos das farmacias caseiras no municipio de cacador–SC. Rev Interdisciplinar 2013;2:118-28.
Massrouje HTN. Medical waste and health workers in Gaza governorates Eastern Mediterranean. Health J 2001;7:1017–24.
Tong AY, Peake BM, Braund R. Disposal practices for unused medications around the world. Environ Int 2011;37:292-8.
Suzuki S, Hoa PTP. Distribution of quinolones, sulfonamides, tetracyclines in an aquatic environment and antibiotic resistance in Indochina. Front Microbiol 2012;3:1-8.
Alvarenga LSV, Nicoletti MA. Descarte domestico de medicamentos e algumas consideracoes sobre o impacto ambiental decorrente. Rev Saude 2010;4:30-4.
Pereira Primo L, Rodrigues JPV, Ferreira IML, Dewulf NLS, Abramovicius AC. Gerenciamento de medicamentos em desuso devolvidos por pacientes ambulatoriais de um hospital universitario. Rev Cienc Farm Basica Appl 2014;35:263-9.
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