Pharmaceutical waste management in community pharmacies in Lagos State, Nigeria
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Abstract
Background: An average community pharmacy in Lagos State, Nigeria, stocks between 2000 to 4000 drug items. A significant amount of waste has been found in both underground and drinking water from these drug items. Poor management of pharmaceutical wastes exposes the community to toxic environmental effects.
Objective: This study assessed the management of pharmaceutical wastes by community pharmacies in Lagos State.
Methods: The cross-sectional study among community pharmacists recruited participants through social media platforms or in person at the Pharmacists Council of Nigeria (PCN) office during their visit.
Results: A total of 211 respondents completed the survey. Of this, 74.4% were aware of proper pharmaceutical waste management. Storage of pharmaceutical wastes were found to be both in the pharmacy and other specified places. About 41.7% were aware of the periodic requests for waste submission by the Association of Community Pharmacists of Nigeria while 48.3% were unaware. 71.6% of them generated wastes outside pharmaceutical wastes (chemicals, sharps, infectious) while 23.7% did not. Respondents generated wastes monthly (32.7%), nonregular (23.7%), quarterly (17.5%) and yearly (14.7%). About 43.1% disposed their wastes themselves and 21.3% disposed via regulatory agencies.
Conclusion: The level of awareness of appropriate pharmaceutical waste management is high but practice of standard disposal methods is low. Measures are needed to improve pharmaceutical waste management in Lagos State.
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References
WHO, 2018: Health care wastes-key facts Available at: https://www.who.int/news-room/factsheets/detail/health-care-waste
WHO. (World Health Organization) (2014). Safe Management of Waste from Healthcare activities. 2nd ed.
Woolridge and Hobey, 2019: Pharmaceutical Household Waste Practices: Preliminary Findings from a Case Study in Poland. Available at:
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6598946/ doi: 10.1007/s00267-019-01174-7. Accessed October 5, 2020.
Crean D. (n.d.). Malsparo-Medical Waste Collection, Treatment, and Disposal. Available at: https://www.malsparo.com/. Accessed October 5, 2020.
Nwachukwu NC, Orji FA , Ugbogu OC. ( 2013). Health Care Waste Management - Public Health Benefits, and the Need for Effective Environmental Regulatory Surveillance in Federal Republic of Nigeria, Current Topics in Public Health, Alfonso J. Rodriguez - Morales, In tech Open, DOI: 10.5772/53196. Available at:
Oladimeji-Salami JA, Lawal FT, Ajasa O, Afolayan GO, Akindele AJ, Olayemi SO, Adeyemi OO. (2017). Evaluation of knowledge and practice of pharmaceutical waste disposal in hospitals and pharmacies within Lagos State, Nigeria. Nigerian Quarterly Journal of Hospital Medicine 27 (2): 1-10. Available at: https://www.ajol.info/index.php/nqjhm/article/view/176319
Rajbongshi S, Shah YD, and Sajib AU. (2016). Pharmaceutical Waste Management- A Review. European Journal of Biomedical and Pharmaceutical Sciences 3 (12): 192-206
Ngwuluka NC, Ochekpe NA, Odumosu PO. (2011). An assessment of pharmaceutical waste management in some Nigerian pharmaceutical industries. African Journal of Biotechnology 10(54): 11259-11264. Available at: http://www.academicjournals.org/AJB DOI:10.5897/AJB10.1194 ISSN 1684-5315. Accessed October 4, 2020.
Obono M. (2016) Evaluation of Pharmaceutical Waste Disposal Practices in Healthcare Facilities in Lagos State, South West Nigeria. Texila International Journal of Public Health 4 (4): 749-757
Vanesh M, Dwivedi S, Hassan MA, and Misra RP. (2011). Knowledge, Attitude, and Practices about Biomedical Waste Management among Healthcare Personnel: A Cross-sectional Study
Retail Waste Workgroup Webcast, 2016
Megan C. (2018). Pharmacies: What to do with your Pharmaceutical Waste. Indian Journal Community Med. 36(2): 143-145. doi: 10.4103/0970-0218.84135. Available at: https://www.danielshealth.com/knowledgecenter/pharmacies-what-do-your-pharmaceuticalwaste
Chaudhary R, Rachana M. (2006). Factors affecting hazardous waste solidification/stabilization. Journal of Hazardous Materials 137: 267-276
NAFDAC (2018). Guidelines for handling and disposal of unwholesome medicines and NAFDAC regulated products (food, medicines, medical devices, cosmetics etc.) in Nigeria. Available at: https ://www.nafdac.gov.ng/wpcontent/uploads/Files/Resources/Guidelines/INVE
STIGATION_ENFORCEMENT_GUIDELINES/Guidelines-for-Handling-and-Disposal-of-UnwholesomeMedicines-and-Other-NAFDAC RegulatedProducts.pdf
Letcher TM, Vallero DA. (2011). Waste: A Handbook for Management. DOI: 10.1016/B978-0-12-381475-3.10034-8. 1st Ed. Elsevier Academic Press Editor: S
Lagos State Bureau of Statistics (2005). Available at: http://www.lagosstate.gov.ng.
Qualtrics.xm (2022). Sample size calculator & complete guide. [Online] Available at: https://www.qualtrics.com/blog/calculatingsample-size/
Manojlovic J, Jovanovic V, Miloševic A, Tesink J, Arsic T, and Marinkovic, V. (2015). Pharmaceutical Waste Management in Pharmacies at the Primary Level of Health Care in Serbia - Situation Analysis. Indian Journal of Pharmaceutical Education and Research. 49: 106-111. 10.5530/ijper.49.2.5.
Mburu, JN. (2012). Handling of Pharmaceutical Waste in Community Pharmacies in Nairobi, Kenya. University of Nairobi Research Archive. Accessed August 28, 2022
Bashaar M, Thawani V, Hassali MA, Saleem F. (2017). Disposal practices of unused and expired pharmaceuticals among general public in Kabul. BMC Public Health 17(45). Available at: https://doi.org/10.1186/s12889-016-3975-z Accessed August 28, 2022
Kadam A, Patil S, Patil S , Tumkur A. (2016). Pharmaceutical Waste Management, an Overview. Indian Journal of Pharmacy Practice 9(1): 2-8
Michael I., Ogbonna B., Sunday N. Anetoh M and Mathew O. (2019). Assessment of disposal practices of expired and unused medications among community pharmacies in Anambra State southeast Nigeria: a mixed study design. Journal of Pharmacy Policy and Practice 12(12). Available at: https://doi.org/10.1186/s40545-019-0174-1 Accessed August 28, 2022
Alghadeer S, Al-Arifi MN. (2021). Community Pharmacists' Practice, Awareness, and Beliefs about Drug Disposal in Saudi Arabia. Healthcare (Basel) 9(7):823. doi: 10.3390/healthcare9070823
Clavelle A (2020). Challenges with Pharmaceutical Waste Management in the Healthcare Industry. Triumvirate Environmental Available at:
He, Z, Li, Q, and Fang, J. (2020). The solutions and recommendations for logistics problems in the collection of medical waste in China. Procedia Environmental Sciences 31 ( 2016 ): 447 - 456