Environmental education for sustainability: An alternative for adequate disposal of medicines at home

Authors

  • Bartolomé Antonio, Manzolillo Morello

Keywords:

environmental education, education for sustainability, disposal of household medicines, medicines in the environment

Abstract

Introduction: The easy access to buy medicines causes accumulation at home and due to lack of use or expiration, these products are disposed of by patients and consumers in an inappropriate way, so they become a type of waste that can represent a risk to the environment and raise public health concerns. Objective: Analyze the causes that promote inadequate disposal of unused and expired medicines at home and the environmental education and investigate the level of knowledge, information, and environmental awareness that the people have about the management of these products. Method: A literature review of household surveys on drug disposition was developed using the Campbell Collaboration's systematic review method. Results: In the 21 selected studies, 81% of patients dispose of medicines inadequately in a garbage bin or toilet and 9.2% return them to specialized waste collection centers. Conclusions: The evidence shows that there is little knowledge about the effects on the environment of these products and that education aimed at sustainability plays a fundamental role in reducing and mitigating the possible environmental impacts that may be generated.

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References

Freitas Dos Santos S, Nogueira K, Matos da Silva R, Rodrigo de Azevedo F. Aspectos toxicológicos do descarte de Medicamentos: Uma questão de educação em saúde. Revinter. 2016;09(3):07-20.

Manzolillo B, González M. Disposición inadecuada de medicamentos por pacientes o consumidores en su hogar: Una revisión sistemática. Gaceta Médica de Caracas. 2019;127(2):108-122.

Tavera S, Pasqual D, Zaninelli F, Castilho J, Carnevale R. Conhecimento de Estudantes Universitários sobre Descarte de Medicamentos. Revista Científica Intellectus. 2017;1(42):84 – 101.

Reinoso J, Serrano C, Orellana D. Contaminantes emergentes y su impacto en la salud. Revista de la Facultad de Ciencias Médicas de la Universidad de Cuenca. 2017;35(2):55-59.

UNESCO 2020. Informe Mundial de las Naciones Unidas sobre el Desarrollo de los Recursos Hídricos 2020 Agua y Cambio Climático, 2020. Disponible en: https://unesdoc.unesco.org/ark:/48223/pf0000373611.locale=es

Maia D, Dezotti M. Fármacos no meio ambiente. Quim. Nova. 2003;26(4):523-530.

Tejada C, Quiñónez E, Peña M. Contaminantes emergentes en aguas: metabolitos de fármacos. Una revisión. Revista Facultad de Ciencias Básicas. 2014;10(1):80-101.

Cuñat A, Ruiz M. Ensayos de ecotoxicidad de los fármacos y efectos tóxicos en el medio ambiente: Revisión. Rev. Toxicol. 2016;33(2):108-119.

Zapata L, Álvarez D. Campaña de Sensibilización para la Disposición Final de los Medicamentos Pos Consumo;Dirigida a los Clientes Internos y Externos de Moli Belen y Furatena 2016, (Tesis de grado en Farmacia. Universidad Nacional Abierta y a Distancia, UNAD, Medellín, Colombia). Disponible en: https://repository.unad.edu.co/handle/10596/18102

The Campbell Collaboration. Campbell systematic reviews: Policies and guidelines, 2020. Disponible en: https://doi.org/10.4073/cpg.2016.1

Bettington E, Spink J, Kelly F, Gallardo-Godoy A, Nghiem S, Wheeler A. When is a medicine unwanted, how is it disposed, and how might safe disposal be promoted? Insights from the Australian population. Australian Health Review, 2017;42(6):709-717. Disponible en: https://doi.org/10.1071/AH16296

Kristina S, Wiedyaningsih C, Cahyadi A, Ridwan BA. A Survey on Medicine Disposal Practice among Households in Yogyakarta. Asian Journal of Pharmaceutics. 2018;12(3):955-958.

Ayele Y, Mamu M. Assessment of knowledge, attitude and practice towards disposal of unused and expired pharmaceuticals among community in Harar city, Eastern Ethiopia. Journal of Pharmaceutical Policy and Practice. 2018;11(27):1-7. Disponible en: https://doi.org/10.1186/s40545-018-0155-9

Akici A, Aydin V, Kiroglu A. Assessment of the association between drug disposal practices and drug use and storage behaviors. Saudi Pharmaceutical Journal. 2018; 26:7–13. Disponible en: https://doi.org/10.1016/j.jsps.2017.11.006

Shaaban H, Alghamdi H, Alhamed N, Alziadi A, Mostafa A. Environmental Contamination by Pharmaceutical Waste: Assessing Patterns of Disposing Unwanted Medications and Investigating the Factors Influencing Personal Disposal Choices. J Pharmacol Pharm Res. 2018;1(1):1-7.

Yang S, Tan S, Goh Q, Liau S. Utilization of Ministry of Health Medication Return Programme, Knowledge and Disposal Practice of Unused Medication in Malaysia. Journal of Pharmacy Practice and Community Medicine.2018;4(1):7-11. Disponible en: http://dx.doi.org/10.5530/jppcm.2018.1.3

Naveen A, Suguna A, Basineni M. A Study on Unused and Expired Drug Disposal Practices: Knowledge and Behavioral Patterns Among The Rural Population. International Journal of Scientific Research. 2019;8(6):6-8.

Agostinetto L, Coelho V, Oliveira H, Bianchini J, Silva G, Lima, V, et al. Adopted Practices for the Disposal of Drug Waste and Sanitary Household Products by the High School Students. Evidência - Ciência e Biotecnologia. 2019;19(2):185-202.

Kumar M, Saravanan S. Development of conceptual framework for household medicine disposal practices in India and its impact on environment, World journal of pharmacy and pharmaceutical sciences. 2016;5(4):2269-2280.

Freitas De Sousa G, Lessa De Magalhães G, Santana E. Descarte de medicamentos: conhecimento e prática de estudantes de farmácia no Brasil. Infarma Ciências Farmacêuticas. 2019;31(2):93-103.

Sivasankaran P, Mohammed E, Ganesan N, Durai R. Storage and Safe Disposal of Unwanted/Unused and Expired Medicines: A Descriptive Cross-Sectional Survey among Indian Rural Population. J Young Pharm. 2019;11(1):97-100.

Chung S, Brooks B. Identifying household pharmaceutical waste characteristics and Population behaviors in one of the most densely populated global cities. Resources, Conservation and Recycling. 2019;140:267-277.

Quadra G, Silva P, Paranaíba JR, Josué I, Souza H, Costa R, Fernandez M, et al. Investigation of medicines consumption and disposal in Brazil: A study case in a developing country. Science of The Total Environment. 2019;671:505-509.

Pereira F, Sá F, Silva RR, Silva RK, Formiga L, Souza E. Conhecimento e comportamento autorreferidos sobre o descarte domiciliar de medicamentos. Rev Fun Care Online. 2019;11(1):154-159. Disponible en: http://dx.doi.org/10.9789/2175-5361.2019.v11i1.154-159

Kahsay H, Ahmedin M, Kebede B, Gebrezihar K, Araya H, Tesfay D. Assessment of Knowledge, Attitude, and Disposal Practice of Unused and Expired Pharmaceuticals in Community of Adigrat City, Northern Ethiopia. Journal of Environmental and Public Health. 2020: 1-11.

Manocha S, Suranagi U, Sah R, Chandane R, Kulhare S, Goyal N, Tanwar K. Current Disposal Practices of Unused and Expired Medicines Among General Public in Delhi and National Capital Region, India. Current Drug Safety. 2020;15: 13-19.

Alnahas F, Yeboah P, Fliedel L, Abdin A, Alhareth K. Expired Medication: Societal, Regulatory and Ethical Aspects of a Wasted Opportunity. International Journal of Environmental Research and Public Health. 2020;17:1-17.

Insani W, Qonita N, Jannah S, Nuraliyah N, Supadmi W, Gatera V, et al. Improper disposal practice of unused and expired pharmaceutical products in Indonesian households. Heliyon. 2020;6(7):1-5. Disponible en: https://doi.org/10.1016/j.heliyon.2020.e04551

Hassali M, Shakeel S. Unused and Expired Medications Disposal Practices among the General Public in Selangor, Malaysia. Pharmacy 2020. 2020;8;(4):1-11. Disponible en: https://doi.org/10.3390/pharmacy8040196

Teixeira A, Santos do Nascimento Y, Azevedo A, Ramos I, Gomes dos Santos J, Crispim da Costa N, Nunes dos Santos K, Costa de Almeida M. Descarte domiciliar de medicamentos: uma análise da prática na região metropolitana de Belém/Pará. Revista Eletrônica Acervo Saúde. 2020;57:1-9. Disponible en: https://doi.org/10.25248/reas.e3809.2020

Marwa KJ, Mcharo G, Mwita S, Katabalo D, Ruganuza D, Kapesa A. Disposal practices of expired and unused medications among households in Mwanza, Tanzania. Plos One, 2021. 2021. Disponible en: https://doi.org/10.1371/journal.pone.0246418

Viana B, Viana S, Viana K. Educação Ambiental e Resíduos Sólidos: Descarte de Medicamentos, Uma Questão de Saúde Pública. Rev. Geogr. Acadêmica, 2016;10 (2):56-66.

Martínez R. Ensayo Critico sobre Educación Ambiental. Revista Electrónica Diálogos Educativos, 2012;12(24): 74-104.

Toapanta S. Estudio de los Conocimientos, Actitudes y Prácticas sobre la Disposición Final de Medicamentos de los Estudiantes Afines al Área de Salud de la Espoch como Estrategia Educativa Orientada a la Ecofarmacovigilancia. 2017. (Tesis de grado en Bioquímica Farmacéutica, Escuela de Bioquímica y Farmacia, Ecuador). Disponible en: http://dspace.espoc

Published

2023-04-14

How to Cite

Bartolomé Antonio, Manzolillo Morello. (2023). Environmental education for sustainability: An alternative for adequate disposal of medicines at home. AVFT – Archivos Venezolanos De Farmacología Y Terapéutica, 40(9). Retrieved from http://saber.ucv.ve/ojs/index.php/rev_aavft/article/view/26189