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HomeMy WebLinkAboutmed-project-for-sharps-2025-adaMED-Project 2024 Annual Report County of Alameda (Sharps), California Due by March 1, 2025 Prepared By: MED-Project LLC Submitted To: Alameda County Department of Environmental Health Table of Contents I. Executive Summary 1 A. Notifications in the Reporting Period 1 B. Reporting Period Operations Overview 1 II. Participating Producers 3 III. Sharps Collection Method and Weight 3 A. Kiosks 3 B. Mail-Back Services 3 C. Take-Back Events 4 D. Total Weight of Collected Sharps 4 IV. Disposal and Transporter Information 4 A. Transporter Information 4 B. Disposal Facility Information 4 V. Safety and Security Report 4 VI. Educational Efforts and Public Outreach 5 A. Public Education Activities 5 B. Outreach Activities 5 C. Evaluation Activities 5 VII. Program Goals 6 Summary of Product Stewardship Plan’s Goals 6 VIII. Expenditures 7 Appendix A 9 Sharps Household Hazardous Waste Facilities 9 Appendix B 10 Transporters 10 Appendix C 11 Disposal Facilities 11 Appendix D 12 MED-Project Promotional Materials 12 Appendix E 25 MED-Project Promotional Materials Distribution 25 Appendix F 26 MED-Project Website Pages 26 Appendix G 58 MED-Project Website Statistics 58 Appendix H 59 Social Media and Email Outreach Activity 59 Social Media Posts 59 Email Blast Activity 63 Appendix I 64 Media Outreach Summary 64 1 I. Executive Summary MED-Project LLC (“MED-Project”) operates a Producer Stewardship Plan for Sharps from Households dated August 31, 2022 (“Approved Plan”) in the County of Alameda (“Jurisdiction”) under the Alameda County Safe Consumer-Generated Sharps Disposal Ordinance No. 2015-53, Alameda Municipal Code Chapters 6.54.010 – 6.54.180 (“Ordinance”). This 2024 Alameda County Sharps Annual Report (“Report”) describes MED-Project’s activities between January 1, 2024, and December 31, 2024 (“Reporting Period”). All capitalized terminology not defined in this summary is derived from the Approved Plan. MED-Project has served the Residents of the County since 2018, including by collecting over 267,000 pounds of Sharps. MED-Project’s comprehensive outreach and education program has generated over 43 million impressions to County Residents. A. Notifications in the Reporting Period MED-Project submitted one notification to the Alameda County Department of Environmental Health (the “Department”) during the Reporting Period. − MED-Project submitted a notification on December 16, 2024, of a change in the order of the Call Center/IVR script. B. Reporting Period Operations Overview During the Reporting Period, priority was given to establishing Sharps Kiosk Drop-Off Sites throughout the Jurisdiction, and performing outreach to eligible pharmacies, hospitals, and clinics with on-site pharmacies, and Law Enforcement Agencies (“LEAs”) throughout Alameda County. As a result of these efforts, MED-Project’s Program collected and disposed of Sharps from 64 Sharps Kiosk Drop-Off Sites, Mail-Back Services, and four Household Hazardous Waste Facilities during the Reporting Period. MED-Project installed three new kiosks during the Reporting Period. Kiosks were installed in pharmacies that meet all local, state, and federal requirements and that executed agreements with MED-Project. In addition, outreach and educational materials, including signage and/or brochures, were distributed to new Kiosk Drop-Off Sites and select existing Kiosk Drop-Off Sites. MED-Project provided disposal instructions to select Kiosk Drop-Off Sites and Mail- Back Services to Residents and continues to communicate with Kiosk Drop-Off Site Hosts to distribute outreach materials upon request, review procedures as needed, and improve overall Program design. As outlined in the Approved Plan, the ultimate goal of the Program is to provide Residents with convenient, safe, and accessible methods to dispose of Sharps. 2 The following Sections of the Report address the specific reporting requirements in Ordinance Section 6.54.120. Each section of the Report restates the corresponding Ordinance requirement and provides the required information. Numbers in the Report have been rounded to the nearest tenth place. 3 II. Participating Producers Ordinance Sec. 6.54.120.A.1: “A list of Producers participating in the Product Stewardship Plan.” The list of participating producers is provided in an accessible spreadsheet. See Attachment A: Participating Producers. III. Sharps Collection Method and Weight Ordinance 6.54.120.A.2: “The amount, by weight, of Sharps collected, including the amount by weight from each collection method used.” A. Kiosks Ordinance 6.54.120.A.3:“The weight of Sharps collected and number of pickups, and the quantity of outer containers (if applicable), for each collection site.” Ordinance 6.54.120.A.4: “A list of drop-off sites” – MED-Project collected 59,460 pounds of Sharps through Kiosk Drop-Off Sites. – MED-Project collected 16,286 pounds of Sharps through Household Hazardous Waste Facilities. The list of Kiosk Drop-Off Sites is provided in an accessible spreadsheet. See Attachment B: Kiosk Drop-Off Site Locations and Collection Data See Appendix A; Sharps Household Hazardous Waste Facilities. B. Mail-Back Services Ordinance 6.54.120.A.5: “The number of mail-back containers provided to County residents, and how many were returned during the reporting period.” – MED-Project distributed 2,179 Sharps mail-back packages directly to Residents. – MED-Project received 893 returned Sharps mail-back packages. – MED-Project collected 1,863 pounds of Sharps through Mail-Back Services. 4 C. Take-Back Events Ordinance 6.54.120.A.6: “The dates and locations of collection events held, if applicable, and the quantities by weight returned at those events.” There were no Take-Back Events during the Reporting Period. D. Total Weight of Collected Sharps MED-Project collected 77,609 pounds of Sharps through all methods. IV. Disposal and Transporter Information Ordinance Sec. 6.54.120.A.7: “The transporters used and disposal facility or facilities used for all Sharps.” A. Transporter Information See Appendix B; Transporters. B. Disposal Facility Information See Appendix C; Disposal Facilities V. Safety and Security Report Ordinance 6.54.120.A.8: “Whether any safety or security problems occurred during collection, transportation or disposal of Sharps during the reporting period and, if so, what changes have or will be made to policies, procedures or tracking mechanisms to alleviate the problem and to improve safety and security in the future, this portion of the report may be submitted under separate cover clearly marked ‘Safety and Security Report’.” There were no safety or security incidents identified during the collection, transportation or disposal of Sharps during the Reporting Period. 5 VI. Educational Efforts and Public Outreach Ordinance 6.54.120.A.9:“A description of the public education, outreach and evaluation activities implemented during the reporting period.” A. Public Education Activities MED-Project provided a variety of public education activities during the Reporting Period, including providing disposal instructions for Sharps kiosks and Mail-Back Services, maintaining a website and toll-free number that provide information on the proper disposal of Sharps waste, collection, and disposal options available through MED-Project, and providing outreach materials. The MED-Project Website and Call Center were available in English and the Specified Languages as outlined in the plan: Spanish, Chinese, Vietnamese and Tagalog. Content on MED-Project’s Website, including downloadable promotional materials such as brochures and posters, can be translated into more than 100 languages via an integrated translation tool. Printed posters and brochures were available in English and Spanish. See Appendix D for examples of promotional materials. See Appendix E for promotional material distribution information. MED-Project Website information and statistics are provided in Appendices F and G, respectively. B. Outreach Activities MED-Project conducted the following outreach activities during the Reporting Period: digital display, connected TV, online video, and streaming audio advertisement campaigns, distributed signage and/or brochures, posted information on social media sites, and sent email blasts. As a part of outreach activities described above, MED- Project generated more than 2.7 million total impressions during the Reporting Period. A list of social media and email outreach activities is provided in Appendix H. The reach and impressions for each campaign are provided in the Media Outreach Summary. See Appendix I. C. Evaluation Activities Consistent with the Approved Plan, MED-Project conducted the biennial survey of Residents, pharmacists, veterinarians, and health professionals in the County who interact with patients to measure Program awareness of the take-back of Sharps from households and to evaluate the effectiveness of its education and outreach activities during the Reporting Period. A total of 1,000 Residents and 200 healthcare providers in Alameda County were surveyed between April 2 and April 16, 2024. Sampling was 6 done at random throughout the population. Results of the survey were posted to the MED-Project Website on July 2, 2024. The survey found that 97% of providers and 78% of Residents were aware of pharmacy drop-boxes as a way to dispose of home-generated sharps. Among County Residents surveyed, 33% reported utilizing a drop-off location. Further, 92% of Residents found the home-generated sharps disposal programs easy to use, easy to locate, and convenient. Of healthcare providers, 91% encouraged patients to safely store and dispose of home- generated sharps. The survey found that 92% of Alameda County providers believe the home-generated sharps disposal programs are easy to use, 86% believe they are easy to locate, and 85% feel the programs are convenient. A total of 54% of Alameda Residents indicated they learned about the takeback program for disposal of home-generated sharps through social media platforms, with 31% of Residents indicating this was their preferred method of exposure to information about the program. Additionally, 59% of healthcare providers learned about take-back programs for home- generated sharps through social media platforms. MED-Project will continue to evaluate media and public outreach as well as collect feedback by surveys to identify and make adjustments and improvements to the Program. Additionally, MED-Project may revise and/or add promotional materials based on changes to the Plan, as needed. VII. Program Goals Ordinance 6.54.120.A.10:“A summary of the Product Stewardship Plan’s goals, the degree of success in meeting those goals in the past year, and, if any goals have not been met, what effort will be made to achieve the goals in the next year.” Summary of Product Stewardship Plan’s Goals As discussed in Section V.A.2 of the Approved Plan, MED-Project performed against the following long term goal during the Reporting Period, by operating 55 Kiosk Drop-Off Sites. MED-Project exceeded the long-term goal to have 55 Kiosk Drop-Off Sites during the Reporting Period by operating 64 active Kiosk Drop-Off Sites, with at least two Kiosk Drop-Off Sites in each district. Refer to Section III of this Report for specific information. Figure 1 shows a graphical representation of how MED-Project provided reasonably 7 convenient and equitable access for all county Residents in each supervisorial district during the Reporting Period. MED-Project continued collector outreach by sending 311 letters to potential Sharps Kiosk Drop-Off Sites. MED-Project sought to include in the Program eligible sites that responded to the letter. MED-Project maintained a toll-free number for a Call Center and the MED-Project Website to provide information to Residents, as well as provided information through social media postings. VIII. Expenditures Ordinance 6.54.120.A.11: “The total expenditures of the Product Stewardship Plan during the reporting period.” The total Program expenditures for the Reporting period were $329,769.741. 1 Final total Program Expenses are pending 2024 audited financials 8 Figure 1:Map of Active Kiosk Drop-Off Sites during the Reporting Period 9 Appendix A Sharps Household Hazardous Waste Facilities Site Weight Collected (in Pounds) Pickups Outer Containers Collected Fremont HHW Facility 4,211 26 85 Hayward HHW Facility 2,296 12 47 Livermore HHW Facility 3,253 12 67 Oakland HHW Facility 6,526 12 132 Table 1: Sharps Household Hazardous Waste Facilities 10 Appendix B Transporters Name Address Daniels Sharpsmart Inc. 4144 East Therese Avenue, Fresno, CA 93725 Sharps Solutions, LLC 23575 Cabot Blvd, Suite 205, Hayward, CA 94545 United States Postal Service 475 L’Enfant Plaza Southwest, Washington, DC 20260 Table 2: Transporters 11 Appendix C Disposal Facilities Disposal Facility Address Daniels Sharpsmart Inc. 4144 East Therese Avenue, Fresno, CA 93725 MedSharps, LLC 17340 Bell North Drive, Schertz, TX 78154 Table 3: Disposal Facilities 12 Appendix D MED-Project Promotional Materials Examples of Promotional Materials that were distributed during the Reporting Period. Figure 2: MED-Project Brochure Front (English) 13 Figure 3: MED-Project Brochure Back (English) 14 Figure 4: MED-Project Brochure Front (Spanish) 15 Figure 5: MED-Project Brochure Back (Spanish) 16 Figure Description: Figures showing the MED-Project brochure: Figure 2 (Front Side, English); Figure 3 (Back Side; English; Figure 4 (Front Side, Spanish); Figure 5 (Back Side; Spanish) Description: Front Side: What can I dispose of? Please separate and remove any items and medication that are not accepted before disposing. Accepted: Sharps (such as hypodermic needles, pen needles, pre-loaded sharps, auto- injectors, intravenous needles, lancets, and other devices used to penetrate the skin for drawing blood, or for the delivery of medicines) contained in U.S. Food and Drug Administration cleared sharps containers. NOT Accepted: Controlled substances (such as opioids), unwanted medicines not contained in sharps, or loose sharps that are not contained in U.S. Food and Drug Administration-cleared sharps containers. To learn more about items that are not accepted in your area, visit med-project.org. For more information about the MED-Project Program, visit www.med-project.org or call 1 (844) MED-PROJECT or 1 (844) 633-7765 (TTY: 711). For easy-to-use and easy-to-locate medication disposal! Are You Done With Those? Safe and Free Sharps Disposal. We Make it Easy for You! Back Side: What should you do with your unwanted sharps? Sharps is a medical term for devices with sharp points or edges that can puncture or cut skin such as lances, needles, syringes auto-injectors, and other devices used for injections. They may be used at home, at work, and while traveling to manage the medical conditions of people or their pets, including allergies, arthritis, cancer, diabetes, hepatitis, HIV/AIDS, infertility, migraines, multiple sclerosis, osteoporosis, blood clotting disorders, and psoriasis. MED-Project programs and services make it safe, free, and convenient for you to dispose of sharps. Use as Directed 17 If there are any specific instructions on the label, package, or package insert, please follow those. If you have questions about your medication or health, please contact your healthcare provider. Store Securely Place all sharps in a sharps disposal container immediately after they have been used. This will reduce the risk of needle sticks, cuts, and punctures from sharps. Sharps disposal containers should be kept out of reach of children and pets. Dispose Safely DO NOT place loose sharps in the trash and never place sharps in recycling. Drop off or mail-back your unwanted sharps in a sharps container for safe disposal. Never dispose of sharps down the sink or toilet. Doing so may put waste management and sewage workers, custodians, housekeepers, household members, and children at risk of being harmed. Disposal of Household Sharps MED-Project provides safe, free, and convenient disposal options for unwanted sharps in your community. Simply use one of our easy-to-locate drop boxes or submit an order for a pre-paid mail-back package for proper disposal. All sharps disposal containers should be made of heavy-duty plastic; able to close with a tight-fitting, puncture-resistant lid without sharps being able to come out; upright and stable during use; leak-resistant; and properly labeled as “sharps waste” or with the biohazard symbol and the word “BIOHAZARD” to warn of hazardous materials inside the container. Do Not Reuse Sharps Disposal Containers. Drop Box Conveniently located drop boxes are available in your area where you can deposit filled Sharps disposal containers. To find a drop box near you, visit the Find a Location section of med-project.org. Mail-Back Mail-back packages are available in your area. All sharps mail-back packages include a sharps disposal container and are pre-addressed with postage pre-paid. To order a mail-back package, visit the Mail-Back section of med-project.org To find out more about the disposal options in your area, visit med-project.org. To protect your privacy, patients are reminded to remove all personally identifiable information on medication labels or packaging before disposing of unwanted medication 18 Figure 6: MED-Project Sharps Mail-Back Insert (English) 19 Figure 7: MED-Project Sharps Mail-Back Insert (Spanish) 20 Figure Description: Figures showing the Sharps Mail-Back Insert: Figure 6 (English); Figure 7 (Spanish) Description: Sharps Mail-Back Package The following are NOT accepted in Sharps Mail-Back Packages: Controlled substances (such as opioids), unwanted medicines not contained in sharps, loose sharps that are not contained in U.S. Food and Drug Administration-cleared sharps containers. Please separate and remove any items and medication that are not accepted before disposing.For more information about the MED-Project program: Please visit med-project.org or call (844) MED-PROJECT (844) 633-7765 (TTY: 711) MED-Project Medication Education & Disposal 21 Figure 8: MED-Project Kiosk Poster (Multilingual) 22 Figure Description: Figures showing the MED-Project Kiosk Poster: Figure 8 (Multilingual) Description: Safe & Free Sharps Disposal Here MED-Project Call Center (844) MED-PROJECT | (844) 633-7765 | (TTY: 711) med-project.org MED-Project Medication Education & Disposal 23 Figure 9: MED-Project Kiosk Poster (Multilingual) 24 Figure Description: Figures showing the MED-Project Combo Kiosk Poster: Figure 9 (Multilingual) Description: Safe & Free Medication and Sharps Disposal Here MED-Project Call Center (844) MED-PROJECT | (844) 633-7765 | (TTY: 711) med-project.org MED-Project Medication Education & Disposal 25 Appendix E MED-Project Promotional Materials Distribution Kiosk Drop-Off Sites that received brochures or posters during the Reporting Period Site Address City ZIP Code CVS Pharmacy 03024 7201 Regional Street Dublin 94568 Kaiser Berkeley OP Pharmacy 910 2621 10th St Fl 2 Rm 2505 Berkeley 94710 Kaiser Fremont Niles West OP Pharmacy 161 39400 Paseo Padre Pkwy Fremont 94538 Kaiser Pleasanton South 1 Pharmacy 471 7601 Stoneridge Dr Pleasanton 94588 Table 4: Promotional Materials Distribution 26 Appendix F MED-Project Website Pages A representative sample of MED-Project website pages for the County during the Reporting Period. Figure 10: MED-Project Website Home Page 27 Figure Description: Figure showing the Alameda County MED-Project website “Home” page: Figure 10 Description: Alameda County, CA – Medicine/Sharps Disposal Program What should you do with your unwanted household medication and sharps? Medicine helps treat disease, manage chronic conditions, and improve health and well- being for millions of Americans. Take medication as directed by your health care provider and as indicated on the label or packaging, then store it securely, and dispose of it safely, to prevent accidental ingestion or misuse by others, including children and pets. Always be sure to store sharps securely to prevent accidental sticks or misuse by others, and dispose of sharps safely. MED-Project’s disposal services for your unwanted household medication or sharps are safe, convenient, and free. Learn more about the program Linked Alameda MED-Project Website pages (Many of these links are repeated on all Website pages): • Home • Medicine Usage • Safe Storage Information • Find a Location • Mail-Back Services • Take-Back Events • Learn • FAQ • Contact • Login • English (choice of language) Links to social media platforms: • Facebook • X • LinkedIn 28 Figure 11: MED-Project Website Medicine and Sharps Usage Page 29 Figure Description: Figure showing the Alameda County MED-Project website “Medicine and Sharps Usage” page: Figure 11 Description: Medicine & Sharps Usage If there are any specific instructions on the label, package, or package insert, please follow those instructions. Adhering to your medication routine means taking your medicine as directed or as prescribed – the right dose, at the right time, in the right way and frequency. Sharps is a medical term for devices with sharp points or edges that can puncture or cut skin. They may be used at home, at work, and while traveling to manage the medical conditions of people or their pets, including allergies, arthritis, cancer, diabetes, hepatitis, HIV/AIDS, infertility, migraines, multiple sclerosis, osteoporosis, blood clotting disorders, and psoriasis. Never dispose of medication or sharps down the sink or toilet and do not place sharps in the trash or recycling. Doing so may put waste management and sewage workers, custodians, housekeepers, household members, and children at risk of being harmed. If you have questions about any medication or your health, please contact your healthcare provider. 30 Figure 12: MED-Project Website Safe Storage Information Page 31 Figure Description: Figure showing the Alameda County MED-Project website “Safe Storage Information” page: Figure 12 Description: Safe Storage Information It is important to take medication as prescribed by your health care provider and as indicated on the label or packaging. Always be sure to store medicine securely to prevent accidental ingestion or misuse by others, especially children. If you have expired or unwanted household medication, proper storage and disposal are easy. To protect your family, pets, and community, follow these instructions for secure storage and safe disposal. Use as Directed Use medication as directed. If there are any specific instructions on the label, package, or package insert, please follow those. If you have any questions, ask your healthcare providers. Store Securely Follow storage instructions as provided on medicine labels and on the information accompanying medicine. Keep medication in a secure location safely away from people or pets that might come in contact with them. Dispose Safely Check your medicine cabinet and remove all expired and unwanted medication. If you do not know if a drug is still safe, check with your pharmacist. Count medication to keep track of amounts. Drop off or mail back expired or unwanted medications for safe disposal. Please separate and remove any items and medication that are not accepted before disposing. Do not place medicine in the trash or recycling and never flush them down the sink or toilet. To protect your privacy, patients are reminded to remove all personally identifiable information on medication labels or packaging before disposing of unwanted medicine. 32 Figure 13: MED-Project Website Find A Location Page-Convenient Locations Tab 33 Figure Description: Figure showing the Alameda County MED-Project website “Find A Location Page- Convenient Locations Tab” page: Figure 13 Description: Find a Location Convenient Locations MED-Project provides safe, free, and convenient disposal options for household medications in your community. Find a location for services near you. Your Coverage Area Enter your zip code to find a convenient location near you (The user can input their ZIP code and the radius of their search to display a map of nearby Kiosk Drop-Off Sites and Mail-Back Distribution Locations). 34 Figure 14: MED-Project Website Find A Location Page-What Can I Dispose Of Tab 35 Figure Description: Figure showing the Alameda County MED-Project website “Find A Location Page-What can I dispose of tab” page: Figure 14 Description: What Can I Dispose Of? Below are general guidelines for the products that will and will not be accepted in drop boxes. Medicine To protect your privacy, patients are reminded to remove all personally identifiable information on medication labels or packaging before disposing of unwanted medicine. Residents may also go to selected locations to request a Mail-Back Package for expired or unwanted medicine. Accepted Medications in any dosage form, except for those listed below, in their original container or sealed bag are accepted. Not Accepted • Herbal remedies • Vitamins • Supplements • Cosmetics • Other personal care products • Empty medical devices • Batteries • Mercury-containing thermometers • Sharps • Illicit drugs If transferring medications to a sealed bag, please be sure to recycle remaining packaging. Do not place medicine in the trash or recycling, and never flush them down the toilet. Please dispose of any items on the NOT ACCEPTED list at your local Hazardous Waste Facility. Call 1 (800) 606-6606 or visit Household-HazWaste.org for details. Sharps Accepted 36 Sharps (such as hypodermic needles, pen needles, pre-loaded sharps, auto-injectors, intravenous needles, lancets, and other devices used to penetrate the skin for drawing blood, or for the delivery of medicines) contained in U.S. Food and Drug Administration- cleared sharps containers. Not Accepted • Controlled substances (such as opioids) • Unwanted medicines not contained in sharps • Loose sharps that are not contained in U.S. Food and Drug Administration- cleared sharps containers All sharps disposal containers should be made of heavy-duty plastic; able to close with a tight-fitting, puncture resistant lid without sharps being able to come out; upright and stable during use; leak-resistant; and properly labeled as “sharps waste” or with the biohazard symbol and the word “BIOHAZARD” to warn of hazardous materials inside the container. 37 Figure 15: MED-Project Website Find A Location Page-Location Services Tab 38 Figure Description: Figure showing the Alameda County MED-Project website “Find A Location Page- Locations Services” tab: Figure 15 Description: Location Services See descriptions of our services below. Medication Drop Box Medication drop boxes are installed at nearby locations such as pharmacies and law enforcement offices for residents to simply drop off their expired or unwanted household medication for safe, free, and convenient disposal. Sharps Drop Box Sharps drop boxes are installed at nearby locations such as pharmacies and law enforcement offices for residents to simply drop off their household sharps in an approved sharps container for safe, free, and convenient disposal. NOTE: Not all services are available at each location. Visit the Find a Location page to find out what services are available at a specific collection site. 39 Figure 16: MED-Project Website Mail-Back Services Page 40 Figure Description: Figure showing the Alameda County MED-Project website “Mail-Back Services” page: Figure 16 Description: Mail-Back Services MED-Project provides the following different types of Mail-Back Packages at no charge to residents. Please complete the below form to request a pre-paid, pre-addressed mail-back package. Instructions for disposal will be provided with all mail-back services. Please submit separate forms for each type of mail-back package. To protect your privacy, patients are reminded to remove all personally identifiable information on medication labels or packaging before disposing of unwanted medicine. Home healthcare professionals providing services to residents may also request a Mail- Back Package on their behalf. 41 Figure17: MED-Project Website Sharps Mail-Back Package Insert 42 Figure Description: Figure showing the Alameda County MED-Project website “Sharps Mail-Back Insert” page: Figure 17 Description: Sharps Mail-Back Package Insert Sharps Mail-Back Package The following are NOT accepted in Sharps Mail-Back Packages: Controlled substances (such as opioids), unwanted medicines not contained in sharps, loose sharps that are not contained in U.S. Food and Drug Administration-cleared sharps containers. Please separate and remove any items and medication that are not accepted before disposing. For more information about the MED-Project program: Please visit med-project.org or call 1-844-MED-PROJECT 1-844-633-7765 (TTY: 711) 43 Figure 18: MED-Project Website Learn Page 44 Figure Description: Figure showing the Alameda County MED-Project website “Learn” page: Figure 18 Description: Outreach and Education Part of MED-Project's mission is to reach out to the local community and educate residents about the proper disposal of unwanted household medication and sharps. Medicine helps treat disease, manage chronic conditions, and improve health and well- being for millions of Americans. Take medication as directed by your health care provider and as indicated on the label or packaging, then store it securely, and dispose of it safely, to prevent accidental ingestion or misuse by others, including children and pets. Always be sure to store sharps securely to prevent accidental sticks or misuse by others, and dispose of sharps safely. MED-Project’s disposal services for your unwanted household medication or sharps are safe, convenient, and free. Brochure – Medicine Program View Brochure Content Brochure – Sharps Program View Brochure Content Frequently Asked Questions View our FAQs Video Public Service Announcement (PSA) – Medicine & Sharps Program Watch PSA Survey Information & Results – Unwanted Medicine View Survey Survey Information & Results - Sharps View Survey Login to your account to order brochures or view signage. If you would like any of the unwanted Medicine Program materials emailed to you, contact: alameda@med-project.org. 45 If you would like any of the Sharps Program materials emailed to you, contact: alamedasharps@med-project.org. 46 Figure 19: MED-Project Website Brochure Page 47 Figure Description: Figure showing the Alameda County MED-Project website “Brochure” page: Figure 19 Description: Brochure – Sharps Program Outreach and Education Part of MED-Project’s mission is to reach out to the local community and educate residents about the proper disposal of unwanted household sharps. Are You Done With Those? Safe and Free Sharps Disposal. We Make it Easy for You! What should you do with your unwanted sharps? Sharps is a medical term for devices with sharp points or edges that can puncture or cut skin such as lances, needles, syringes auto-injectors, and other devices used for injections. They may be used at home, at work, and while traveling to manage the medical conditions of people or their pets, including allergies, arthritis, cancer, diabetes, hepatitis, HIV/AIDS, infertility, migraines, multiple sclerosis, osteoporosis, blood clotting disorders, and psoriasis. MED-Project programs and services make it safe, free, and convenient for you to dispose of sharps. Use as Directed If there are any specific instructions on the label, package, or package insert, please follow those. If you have questions about your medication or health, please contact your healthcare provider. Store Securely Place all sharps in a sharps disposal container immediately after they have been used. This will reduce the risk of needle sticks, cuts, and punctures from sharps. Sharps disposal containers should be kept out of reach of children and pets. Dispose Safely DO NOT place loose sharps in the trash and never place sharps in recycling. Drop off or mail-back your unwanted sharps in a sharps container for safe disposal. Never dispose of sharps down the sink or toilet. Doing so may put waste management and sewage workers, custodians, housekeepers, household members, and children at risk of being harmed. Disposal of Household Sharps 48 MED-Project provides safe, free, and convenient disposal options for unwanted sharps in your community. Simply use one of our easy-to-locate drop boxes or submit an order for a pre-paid mail-back package for proper disposal. All sharps disposal containers should be made of heavy-duty plastic; able to close with a tight-fitting, puncture-resistant lid without sharps being able to come out; upright and stable during use; leak-resistant; and properly labeled as “sharps waste” or with the biohazard symbol and the word “BIOHAZARD” to warn of hazardous materials inside the container. Do Not Reuse Sharps Disposal Containers. Drop Box Conveniently located drop boxes are available in your area where you can deposit filled Sharps disposal containers. To find a drop box near you, visit the Find a Location section of med-project.org. Mail-Back Mail-back packages are available in your area. All sharps mail-back packages include a sharps disposal container and are pre-addressed with postage pre-paid. To order a mail-back package, visit the Mail-Back section of med-project.org To find out more about the disposal options in your area, visit med-project.org. To protect your privacy, patients are reminded to remove all personally identifiable information on medication labels or packaging before disposing of unwanted medication What can I dispose of? Please separate and remove any items and medication that are not accepted before disposing. Accepted: Sharps (such as hypodermic needles, pen needles, pre-loaded sharps, auto- injectors, intravenous needles, lancets, and other devices used to penetrate the skin for drawing blood, or for the delivery of medicines) contained in U.S. Food and Drug Administration cleared sharps containers. NOT Accepted: Controlled substances (such as opioids), unwanted medicines not contained in sharps, or loose sharps that are not contained in U.S. Food and Drug Administration-cleared sharps containers. To learn more about items that are not accepted in your area, visit med-project.org. For more information about the MED-Project Program, visit www.med-project.org or call 1 (844) MED-PROJECT or 1 (844) 633-7765 (TTY: 711). For easy-to-use and easy-to-locate medication disposal! 49 Figure 20: MED-Project Website Frequently Asked Questions Page 50 Figure Description: Figure showing the Alameda County MED-Project website “Frequently Asked Questions” page: Figure 20 Description: General Questions What is MED-Project? What should I do if I am having a medical emergency? What should I do if I think I have ingested something poisonous? What should I do if my pet has ingested medication? What should I do if I think I or someone in my household has been stuck by a used sharp? Where can I find information about California's Prop 65? Where are the MED-Project disposal locations nearest me? Medicine and Sharps Program Questions Whom should I call with a question about my medication or sharps? Where can I find information about the safe storage of medication or sharps? How do I dispose of my expired or unwanted medicine or sharps? Should I remove my personal information before disposing of my medication or sharps? Will it cost me anything to dispose of my medication or sharps? Can I flush my medication or sharps down the toilet? What items can I dispose of in a MED-Project drop box? Where else can I find information about the safe disposal of unwanted household medication or sharps? What is recommended for safe disposal of expired or unwanted household medication and/or sharps in Alameda County? I have a question not answered by this website. Is there someone I can contact with a question about MED-Project? Where can I find more information on the Alameda County Safe Drug Disposal Ordinance? 51 Figure 21: MED-Project Website Public Service Announcement Page 52 Figure Description: Figure showing the Alameda County MED-Project website “Video Public Service Announcement” page: Figure 21 Description: Outreach and Education Part of MED-Project's mission is to reach out to the local community and educate residents about the proper disposal of unwanted household medication and sharps. 53 Figure 22: MED-Project Website Signage Page 54 Figure Description: Figure showing the Alameda County MED-Project website “Signage” page: Figure 22 Description: Safe & Free Medication Disposal Here Choose the poster title you want to translate, select your preferred language, and then print. Safe & Free Medication and Sharps Disposal Here Choose the poster title you want to translate, select your preferred language, and then print. Safe & Free Sharps Disposal Here Choose the poster title you want to translate, select your preferred language, and then print. 55 Figure 23: MED-Project Website Contact Page 56 Figure Description: Figure showing the Alameda County MED-Project website “Contact” page: Figure 23 Description: Contact Residents If you are a resident of Alameda County and have questions about MED-Project, please contact: 1 (844) MED-PROJECT or 1 (844) 633-7765 or (TTY: 711) For answers to some frequently asked questions, visit the MED-Project FAQ page. Convenient Locations If you are a current drop box site, or a retail pharmacy, hospital/clinic with an onsite pharmacy or a law enforcement agency interested in hosting a drop box, please contact us: Click here: Login or Register for an Account Call us by Phone: 1 (833) MED-PROJECT or 1 (833) 633-7765 Fax us: 1 (866) 633-1812 Email us: Email Inquiries for Medicine Disposal: alameda@med-project.org Email Inquiries for Sharps Disposal: alamedasharps@med-project.org Address: Dr. Victoria Travis, PharmD, MS, MBA National Program Director MED-Project, LLC 4096 Piedmont Ave - Unit 174 Oakland, CA 94611 Convenient Locations/Host Sites - Request Materials 57 Login to your account to order brochures or contact us at 1 (833) MED-PROJECT or 1 (833) 633-7765. If you have any questions, comments, or concerns, login to your account. Drug Producers If you are drug producer interested in participating in the MED-Project Stewardship Plan contact: Phone: 1 (202) 495-3131 Email: compliance@med-project.org Sharps Producers If you are a sharps producer or a producer of medications usually injected outside of a healthcare setting and sold in the jurisdiction and are interested in participating in a MED-Project Product Stewardship Plan, please contact: Phone: 1 (202) 495-3131 Email: compliance@med-project.org If you are experiencing a medical emergency, please dial 911. If you are experiencing a non-emergency but suspect that you or another individual has ingested something poisonous, please call Poison Control at 1 (800) 222-1222. If you have questions about your medication, please call your health care provider. 58 Appendix G MED-Project Website Statistics The total number of MED-Project Website visits, by page, during the Reporting Period. Web Page URL Total Views Home https://med-project.org/locations/alameda/ 2,311 Medicine Usage https://med- project.org/locations/alameda/medicine-sharps- usage/ 491 Safe Storage Information https://med-project.org/locations/alameda/safe- storage-information/ 213 Find a Location https://med-project.org/locations/alameda/find- a-location/ 6,423 Mail-Back Services https://med-project.org/locations/alameda/mail- back-services/ 4,318 Learn https://med-project.org/locations/alameda/learn/ 853 Contact https://med- project.org/locations/alameda/contact/ 157 Privacy Policy https://med- project.org/locations/alameda/privacy-policy/ 37 Total N/A 14,803 Table 5: MED-Project Website Statistics 59 Appendix H Social Media and Email Outreach Activity Social Media Posts Date Content Social Media Platform 01/02/2024 General Unwanted Medicine/Sharps Program Information Facebook 01/10/2024 General Unwanted Medicine/Sharps Program Information X 01/11/2024 General Unwanted Medicine/Sharps Program Information Facebook 01/17/2024 General Unwanted Medicine/Sharps Program Information X 01/18/2024 General Unwanted Medicine/Sharps Program Information Facebook 01/23/2024 General Unwanted Medicine/Sharps Program Information Facebook 01/24/24 General Unwanted Medicine/Sharps Program Information X 01/31/2024 General Unwanted Medicine/Sharps Program Information X 02/06/2024 General Unwanted Medicine/Sharps Program Information Facebook 02/07/2024 General Unwanted Medicine/Sharps Program Information X 02/14/2024 General Unwanted Medicine/Sharps Program Information Facebook and X 02/21/2024 General Unwanted Medicine/Sharps Program Information Facebook and X 02/28/2024 General Unwanted Medicine/Sharps Program Information Facebook and X 03/06/2024 General Unwanted Medicine/Sharps Program Information Facebook and X 03/12/2024 General Unwanted Medicine/Sharps Program Information Facebook 03/13/2024 General Unwanted Medicine/Sharps Program Information X 03/19/2024 General Unwanted Medicine/Sharps Program Information Facebook 03/20/2024 General Unwanted Medicine/Sharps Program Information X 60 Date Content Social Media Platform 03/26/2024 General Unwanted Medicine/Sharps Program Information Facebook 03/27/2024 General Unwanted Medicine/Sharps Program Information X 04/03/2024 General Unwanted Medicine/Sharps Program Information X 04/06/2024 General Unwanted Medicine/Sharps Program Information Facebook 04/09/2024 General Unwanted Medicine/Sharps Program Information Facebook 04/10/2024 General Unwanted Medicine/Sharps Program Information X 04/16/2024 General Unwanted Medicine/Sharps Program Information Facebook 04/18/2024 General Unwanted Medicine/Sharps Program Information X 04/23/2024 General Unwanted Medicine/Sharps Program Information Facebook 04/24/2024 General Unwanted Medicine/Sharps Program Information X 05/08/2024 General Unwanted Medicine/Sharps Program Information Facebook and X 05/15/2024 General Unwanted Medicine/Sharps Program Information Facebook and X 05/21/2024 General Unwanted Medicine/Sharps Program Information X 05/22/2024 General Unwanted Medicine/Sharps Program Information Facebook 05/29/2024 General Unwanted Medicine/Sharps Program Information Facebook and X 06/06/2024 General Unwanted Medicine/Sharps Program Information Facebook 06/11/2024 General Unwanted Medicine/Sharps Program Information Facebook 06/12/2024 General Unwanted Medicine/Sharps Program Information X 06/18/2024 General Unwanted Medicine/Sharps Program Information Facebook 06/19/2024 General Unwanted Medicine/Sharps Program Information X 06/21/2024 General Unwanted Medicine/Sharps Program Information X 06/25/2024 General Unwanted Medicine/Sharps Program Information Facebook 61 Date Content Social Media Platform 06/26/2024 General Unwanted Medicine/Sharps Program Information X 07/10/2024 General Unwanted Medicine/Sharps Program Information X 07/11/2024 General Unwanted Medicine/Sharps Program Information Facebook 07/16/2024 General Unwanted Medicine/Sharps Program Information Facebook 07/17/2024 General Unwanted Medicine/Sharps Program Information X 07/23/2024 General Unwanted Medicine/Sharps Program Information Facebook 07/24/2024 General Unwanted Medicine/Sharps Program Information X 07/30/2024 General Unwanted Medicine/Sharps Program Information Facebook 07/31/2024 General Unwanted Medicine/Sharps Program Information X 08/07/2024 General Unwanted Medicine/Sharps Program Information X 08/14/2024 General Unwanted Medicine/Sharps Program Information X 08/21/2024 General Unwanted Medicine/Sharps Program Information X 08/23/2024 General Unwanted Medicine/Sharps Program Information Facebook 08/25/2024 General Unwanted Medicine/Sharps Program Information Facebook 08/27/2024 General Unwanted Medicine/Sharps Program Information Facebook 08/28/2024 General Unwanted Medicine/Sharps Program Information X 08/29/2024 General Unwanted Medicine/Sharps Program Information Facebook 09/04/2024 General Unwanted Medicine/Sharps Program Information Facebook and X 09/11/2024 General Unwanted Medicine/Sharps Program Information Facebook and X 09/18/2024 General Unwanted Medicine/Sharps Program Information Facebook and X 09/25/2024 General Unwanted Medicine/Sharps Program Information Facebook and X 10/02/2024 General Unwanted Medicine/Sharps Program Information Facebook and X 62 Date Content Social Media Platform 10/9/2024 General Unwanted Medicine/Sharps Program Information Facebook and X 10/16/2024 General Unwanted Medicine/Sharps Program Information Facebook and X 10/23/2024 General Unwanted Medicine/Sharps Program Information Facebook and X 11/4/2024 General Unwanted Medicine/Sharps Program Information Facebook and X 11/12/2024 General Unwanted Medicine/Sharps Program Information Facebook and X 11/18/2024 General Unwanted Medicine/Sharps Program Information Facebook and X 11/25/2024 General Unwanted Medicine/Sharps Program Information Facebook and X 12/2/2024 General Unwanted Medicine/Sharps Program Information Facebook and X 12/9/2024 General Unwanted Medicine/Sharps Program Information Facebook and X 12/16/2024 General Unwanted Medicine/Sharps Program Information Facebook and X 12/23/2024 General Unwanted Medicine/Sharps Program Information Facebook and X Table 6: Social Media Posts 63 Email Blast Activity Email blasts sent to community contacts during the Reporting Period. Date Subject 03/28/2024 Alameda County - Medicine/Sharps Disposal Program Available in your Community 06/21/2024 Alameda County - Medicine/Sharps Disposal Program Available in your Community 09/24/2024 Alameda County - Medicine/Sharps Disposal Program Available in your Community 11/14/2024 Alameda County - Medicine/Sharps Disposal Program Available in your Community Table 7: Email Blasts 64 Appendix I Media Outreach Summary Media Channel (Type of Media) Start Date End Date Name of Publication, Network, or Station Impressions Reach 05/06/2024- 06/03/2024 Digital Display 05/06/2024 06/03/2024 AdTheorent 1,829,736 38% Connected TV 05/06/2024 06/03/2024 AdTheorent 216,061 4% Online Video 05/06/2024 06/03/2024 AdTheorent 405,863 14% Streaming Audio 05/06/2024 06/03/2024 AdTheorent 344,637 5% Total N/A N/A N/A 2,796,297 52% Table 8: Media Outreach Summary