Drug Disposal and Ecopharmacovigilance Practices in the Krowor Municipality, Ghana

Introduction. The use of medicines is a ubiquitous practice for the management of healthcare conditions. In the delivery of healthcare, medicines may remain unused and may expire within the various stakeholders in the pharmaceutical value chain. If these unused and expired medicines are not disposed...

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Main Authors: Yvonne Yirenkyiwaa Esseku, Priscilla Kolibea Mante, Alex Nii Oto Dodoo, Eric Woode
Format: Article
Language:English
Published: Wiley 2022-01-01
Series:Journal of Toxicology
Online Access:http://dx.doi.org/10.1155/2022/7674701
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author Yvonne Yirenkyiwaa Esseku
Priscilla Kolibea Mante
Alex Nii Oto Dodoo
Eric Woode
author_facet Yvonne Yirenkyiwaa Esseku
Priscilla Kolibea Mante
Alex Nii Oto Dodoo
Eric Woode
author_sort Yvonne Yirenkyiwaa Esseku
collection DOAJ
description Introduction. The use of medicines is a ubiquitous practice for the management of healthcare conditions. In the delivery of healthcare, medicines may remain unused and may expire within the various stakeholders in the pharmaceutical value chain. If these unused and expired medicines are not disposed of properly, they may result in the concentration of pharmaceuticals in environmental media contaminating food sources for humans and animals. Implementation of ecopharmacovigilance strategies will reduce the quantities of pharmaceuticals in the environmental media, reduce the potential for inadvertent consumption by humans and animals, and reduce potential pharmacological effects on the environment, humans, and animals. The drug disposal flow diagram (DDFD) provides an effective way of assessing the most cost-effective strategies to reduce environmental contamination. Method. A combined method of desk study and questionnaires, both structured and unstructured was used. The desk study reviewed the institutional arrangements for the regulation of disposal of pharmaceutical waste in Krowor. The questionnaires were used to gather information from community members, community pharmacies, and pharmaceutical manufacturers in Krowor. Results. The drug disposal flow diagram shows that up to 96% of pharmaceuticals are handled and disposed of in ways that are harmful to the environment with only 4% being handled in ways that are environmentally friendly. Forty-nine percent (49%) of generated pharmaceutical waste ends up in the local and surrounding areas, 21% contaminates the drainage system and 25% is discharged into receiving waters. Discussion. The DDFD for Krowor shows that engagement with community members and institutional healthcare service providers and strategies that result in separation of pharmaceutical waste from general household waste will reduce the quantities of pharmaceuticals that end up in the environmental media. Conclusion. The DDFD will support the effective implementation of ecopharmacovigilance (EPV) strategies.
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spelling doaj-art-6903c92b55df444794ebdbb77c51059f2025-02-03T05:57:56ZengWileyJournal of Toxicology1687-82052022-01-01202210.1155/2022/7674701Drug Disposal and Ecopharmacovigilance Practices in the Krowor Municipality, GhanaYvonne Yirenkyiwaa Esseku0Priscilla Kolibea Mante1Alex Nii Oto Dodoo2Eric Woode3Department of PharmacologyDepartment of PharmacologyGhana Standards AuthorityDepartment of Pharmacology and ToxicologyIntroduction. The use of medicines is a ubiquitous practice for the management of healthcare conditions. In the delivery of healthcare, medicines may remain unused and may expire within the various stakeholders in the pharmaceutical value chain. If these unused and expired medicines are not disposed of properly, they may result in the concentration of pharmaceuticals in environmental media contaminating food sources for humans and animals. Implementation of ecopharmacovigilance strategies will reduce the quantities of pharmaceuticals in the environmental media, reduce the potential for inadvertent consumption by humans and animals, and reduce potential pharmacological effects on the environment, humans, and animals. The drug disposal flow diagram (DDFD) provides an effective way of assessing the most cost-effective strategies to reduce environmental contamination. Method. A combined method of desk study and questionnaires, both structured and unstructured was used. The desk study reviewed the institutional arrangements for the regulation of disposal of pharmaceutical waste in Krowor. The questionnaires were used to gather information from community members, community pharmacies, and pharmaceutical manufacturers in Krowor. Results. The drug disposal flow diagram shows that up to 96% of pharmaceuticals are handled and disposed of in ways that are harmful to the environment with only 4% being handled in ways that are environmentally friendly. Forty-nine percent (49%) of generated pharmaceutical waste ends up in the local and surrounding areas, 21% contaminates the drainage system and 25% is discharged into receiving waters. Discussion. The DDFD for Krowor shows that engagement with community members and institutional healthcare service providers and strategies that result in separation of pharmaceutical waste from general household waste will reduce the quantities of pharmaceuticals that end up in the environmental media. Conclusion. The DDFD will support the effective implementation of ecopharmacovigilance (EPV) strategies.http://dx.doi.org/10.1155/2022/7674701
spellingShingle Yvonne Yirenkyiwaa Esseku
Priscilla Kolibea Mante
Alex Nii Oto Dodoo
Eric Woode
Drug Disposal and Ecopharmacovigilance Practices in the Krowor Municipality, Ghana
Journal of Toxicology
title Drug Disposal and Ecopharmacovigilance Practices in the Krowor Municipality, Ghana
title_full Drug Disposal and Ecopharmacovigilance Practices in the Krowor Municipality, Ghana
title_fullStr Drug Disposal and Ecopharmacovigilance Practices in the Krowor Municipality, Ghana
title_full_unstemmed Drug Disposal and Ecopharmacovigilance Practices in the Krowor Municipality, Ghana
title_short Drug Disposal and Ecopharmacovigilance Practices in the Krowor Municipality, Ghana
title_sort drug disposal and ecopharmacovigilance practices in the krowor municipality ghana
url http://dx.doi.org/10.1155/2022/7674701
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