what we do with leftover medication. flushing medication down the toilets and then to the sewage treatment plants that are not designed to remove them meaning the chemicals end up polluting the bay and putting drugs in the trash also pose risk as the chemicals can either leak out of landfills or get pumped to the sewage plants and not get removed. it's easy to think you can close the medicine cabinet and forget about it and unfortunately that can have the worst consequences of all. . the california poison control system states that more than 90 percent of accidental poisonings happen in the home last year san franciscans called the poison control center over 46 hundred times about pharmaceutical expose ures and nationally people died of prescription drug overdoses in 2013 and the cdc states that 15 thousand people die every year from prescription painkiller overdoses and that's more than heroin and cocaine combined so unwanted and expired medications are not just an environmental problem they they can be a public safety

what we do with leftover medication. if you were like me or you may have a drawer or cabinet with a bottle of expired ib pro fin or unused prescription drugs. the problem is most of us don't know what to do with them. flushes meds down the toilet send them to the sewerage plant which means the chemicals pollute the bay. chemicals can leak out of the land field into ground water or get pumped to sewerage plants where again they won't be removed. it can seem easier to just close the medicine cabinet and forget about it which many of us do. unfortunately that approach that can the worst consequences as the drugs are miss appropriated by people struggling with addiction or kids looking for a high or elderly confusing them with their daily meds. according to the poison control, 90% of poisoning happen in the home. last year san francisco called the poison control, 4,055 times about pharmaceutical exposure. 41% were unintentional -- drug abuse is a major problem among teenagers and adults and in 2010 and 2011, san francisco sa

and when they're asked about where they got the pills, many of them are taking their own leftover medication. so again, you are prescribing practices. we have to look at that and we are looking at that. and some of them received them from a dentist or an emergency room doctor, and other kinds of physicians. and then other diversion sources, here's that word again, when somebody who is taking it not as prescribed, and not the right person, internet, friend or relative is very high. so people share drugs. sometimes for free and sometimes bought. and then another 20% or so from drug dealers. this is from the adolescent health literature. these are the things we try to make opioids safer and the take back program fits into this. so we're supportive of this ordinance. and this is my effort to show all the things that it has done in san francisco over the years on opioids safety. we certainly worked hard on predicting the disease and the exposure to opioids starting in the 90s with needle safety and heroin use, and then including -- including in mental health clinic and specialized clinic like met

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