Page 16 - May-June2019 Vol37 No1
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TENNESSEE                                                                                By Ashley Cabrera
Safer Pharmaceutical Disposal

  Many individuals are unaware of             A 2014 Southeast study by the United       concern and widespread in leachate. The
the potential impacts that improper         States Geological Survey detected one        study of 19 landfills across the country
disposal of unwanted and expired            or more pharmaceuticals in all 59            found 80 pharmaceutical chemicals in
pharmaceuticals can have on the             streams tested, with an average of six       untreated leachate samples.4
environment. The effects of these           pharmaceuticals detected.1 Additionally,     Combatting the Opioid Epidemic in
drugs…and the opioid epidemic itself…       a report from the Associated Press           Tennessee
can be found in our waterways, our          detected pharmaceutical residues in the
aquatic ecosystems and our society.         drinking water of 24 major metropolitan        According to the Centers for Disease
The Effect on Tennessee Waterways           areas across the country. 2 There has been   Control (CDC), a 320 percent increase
                                            limited epidemiological and toxicological    in prescription drug overdose deaths
  When over-the-counter and                 research of impacts to humans from           occurred in Tennessee from 2001 to 2017,
prescription drugs are flushed down         exposure to pharmaceutical drug              rising from 422 deaths to 1,776 deaths.5
the toilet or poured down the sink,         residues. However, given impacts seen in     The 2015 National Survey on Drug Use
chemicals in the drugs can potentially      aquatic species, it is expected that there   and Health showed that 40.5 percent of
enter a stream or groundwater. Once         also may be adverse effects to humans.       those who misused prescription pain
in the water, chemicals from some                                                        relievers said that they obtained the
pharmaceuticals, such as those found in       Water impacted by pharmaceutical           medicine from a friend or relative.6
pain medication, hormone therapy, and       compounds can alter aquatic ecosystems
birth control drugs, can negatively affect  and impact other wildlife. Scientists          Tennesseans can help combat the
aquatic ecosystems.                         have detected pharmaceutical                 opioid epidemic by keeping expired or
                                            residues in rivers and coastal waters
  Currently, conventional wastewater        worldwide, prompting concerns about
treatment plants are not designed           potential adverse effects and long term
to remove all of the pharmaceutical         implications they have on aquatic species
compounds found in the water before         and ecosystems. Studies have shown that
discharging to a receiving body, so         both fish and algae respond negatively to
trace levels often are detected in treated  pharmaceutical contaminants.
municipal water supplies. The improperly
disposed pharmaceuticals also can find        One study found that a gene related
their way into groundwater through a        to egg production specific to female fish
variety of processes, including leaking     was being expressed in male fish, which
infrastructure, septic systems, and         indicates a hormonal change. Disruption
through normal hydrologic interactions      of this species’ reproductive abilities
between surface and groundwater.            led to a near-extinction of the study
                                            population.3
  While concentrations of
pharmaceuticals measured in streams           Pharmaceuticals are just as likely
and other water bodies may be relatively    to enter the streams and water bodies
small, there have been emerging             when thrown away in the trash. Drugs
concerns of their effect on drinking        that end up landfilled also enter water
water. The same pharmaceutical drug         through landfill leachate, which is treated
residues that end up in our waterways       at wastewater plants. In a 2014 study by
also can be found in our drinking water.    the U.S. Geological Survey, they found
                                            that pharmaceuticals are an emerging

16	 TPW May/June 2019
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