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Every year municipal solid waste continues to grow as the US population expands. Municipal solid waste includes substances that pose a harmful risk for the environment such as medical waste or pharmaceutical agents. Health-care related waste increases annually by 15% and thus concerns for proper disposal of hazardous agents such as medical waste or pharmaceutical agents increases. It is important that these agents are disposed of properly to mitigate the chances of toxins and hazardous materials from tampering with the environment, and ultimately the US’s water supply. Additionally, medical waste can contribute to illicit drug abuse and potential overdoses. Methods such as flushing and disposing of these wastes in regular garbage are most common. However, medical waste disposal devices have been marketed to help reduce the risk of potential toxicities to the environment. These medical devices can be broken up into three categories: storage, sequestering agents, and immediate destruction devices. Sequestering agents are the most common devices within this review. The objective of this review is to highlight these different devices as well as describe what each can or cannot do.
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 National Overview: Facts and Figures on Materials, Wastes and Recycling. United States Environmental Protection Agency website. https://www.epa.gov/facts-and-figures-about-materials-waste-and-recycling/national-overview-facts-and-figures-materials. Accessed November 17, 2019.
 Municipal Solid Waste. United States Environmental Protection Agency Archives website. https://archive.epa.gov/epawaste/nonhaz/municipal/web/html/. Accessed September 24, 2019.
 Demark R, Smith V, Fiegen A. Lean and Green Hand Surgery. J Hand Surg Am. 2018; 43(2): 179-181. doi:10.1016/j.jhsa.2017.11.007.
 Medical Waste Tracking Act of 1988. United States Environmental Protection Agency Archives website. https://archive.epa.gov/epawaste/nonhaz/industrial/medical/web/html/tracking.html. Accessed September 19, 2019.
 Health-care waste. World Health Organization website. https://www.who.int/news-room/fact-sheets/detail/health-care-waste. Accessed on November 17, 2019.
 Frattaroli S, Shields W, Omaki E, Molloy M. How Are Prescription Medications Stored in Urban Homes Where Children Live? Opportunities for Poisoning Prevention. Clin Pediatr. 2016; 56(7): 679-681. doi: 10.1177/0009922816668631.
 Where and How to Dispose of Unused Medicines. Food Drug Administration website. https://www.fda.gov/consumers/consumer-updates/where-and-how-dispose-unused-medicines. Accessed September 24, 2019.
 List of medicines recommended for disposal by flushing. Food and Drug Administration website. https://www.fda.gov/media/109643/download. Accessed September 24, 2019.
 Egan K, Gregory E, Sparks M, Wolfson M. From dispensed to disposed: evaluating the effectiveness of disposal programs through a comparison with prescription monitoring program data. Am J Drug Alcohol Abuse. 2017; 43(1): 69-77. doi: 10.1080/00952990.2016.1240801.
 Klobuchar A. Secure and Responsible Drug Disposal Act of 2010. Library of Congress website. https://www.congress.gov/bill/111th-congress/senate-bill/3397/text. Accessed October 10, 2019.
 Stericycle Overview. Stericycle website. https://www.stericycle.com/about-us/overview. Accessed October 20, 2019.
 Our Social Responsibility Commitment. Stericycle website. https://www.stericycle.com/about-us/sustainability. Accessed December 1, 2019.
 What we do: Browse our Services. Stericycle website. https://www.stericycle.com/services. Accessed October 20, 2019.
 Industrial Hazardous Waste. Stericycle website. https://www.stericycle.com/services/waste-services/industrial-hazardous-waste. Accessed October 20, 2019.
 Mailback Recycling. Stericycle Environmental Solutions website. https://www.stericycleenvironmental.com/service/mailback-recycling/. Accessed October 20, 2019.
 Preparing for Drug Take Back Day. Stericycle Environmental Solutions website. https://www.stericycleenvironmental.com/preparing-for-drug-take-back-day/. Accessed October 20, 2019.
 Shield M, Johnson M. Medicine Disposal Products: an overview of products and performance questions. Community Environmental Health Strategies LLC. https://sfenvironment.org/sites/default/files/fliers/files/medicinedisposalproducts_march2019.pdf. Accessed October 20, 2019.
 Maness D. Smart Sink by Cactus Renders Controlled Substance Waste Unusable and NonRecoverable. RxInsider website. http://www.rxinsider.com/20ways/articles/17_cactus_20wayssummer16_way.pdf. Accessed September 24, 2019.
 Cactus Smart Sink Controlled Substance Waste Management System. Stryker website. https://www.stryker.com/us/en/surgical/products/cactus-controlled-substance-waste-management-system/cactus.html. Accessed September 29, 2019.
 Disposal of Medicaments. Free Patents Online website. http://www.freepatentsonline.com/y2018/0001357.html. Accessed October 10, 2019.
[22 Frequently Asked Questions. Element MDS website. https://elementmds.com/pages/faqs. Accessed November 14, 2019.
 Frequently Asked Questions. Deterra System website. https://deterrasystem.com/faq/. Accessed November 14, 2019.
 Silberman J, Galuska M, Taylor A. Activated Charcoal. StatPearls Publishing LLC. https://www.ncbi.nlm.nih.gov/books/NBK482294/?report=classic/. Accessed November 14, 2019.
 Korey A, Fowler W, Anderson C, et al. In-Home Deactivation System for Psychoactive Drugs (SBIR Phase 2). Verde Environmental Technologies. 2016: 1-25. https://shop.gohcl.com/Customer/hecalo/specpages/19551_Bulletin.pdf. Accessed November 14, 2019.
 Drug Buster Drug Disposal System. Medline Industries website. https://www.medline.com/product/Drug-Buster-Drug-Disposal-System/Pharmacy-Supply/Z05-PF19622#mrkDocumentation. Accessed October 10, 2019.
 Rx Destroyer Pharmaceutical Disposal. http://www.rxdestroyer.com/. Accessed October 10, 2019.
 Full GAED Characterization with Aqueous-phase comparisons for Sample EE-541. Rx Destroyer. 2015: 1-15. https://www.rxdestroyer.com/wp-content/uploads/1-Dr.-Nowicki-Independent-Testing.pdf. Accessed on December 1 2019.
 How it works. NarcX website. https://narcx.com/how-it-works/. Accessed December 1, 2019.
 Bentonite Clay Mixture For Disposing of Pharmaceuticals. United States Patent. https://patentimages.storage.googleapis.com/e7/59/75/ea4743be75fbb4/US8523752.pdf. Accessed October 11, 2019.
 Pill Catcher. United States Patent. https://patentimages.storage.googleapis.com/63/22/0a/8d329220c1bd42/US7918777.pdf. Accessed October 11, 2019.
 Calcium hypochlorite. PubChem website. https://pubchem.ncbi.nlm.nih.gov/compound/Calcium-hypochlorite. Accessed November 17, 2019.
 Drug Disposal Solution: How It Works. Pill Terminator website. https://www.pillterminator.com/how-it-works-drug-disposal/. Accessed September 24, 2019.
 Priefer R. Investigation of the Efficacy of the Pill Terminator. Western New England University. 2015: 1-2. https://cdn.shopify.com/s/files/1/1027/5393/files/Manuscript_Letter_Head.pdf. Accessed November 17, 2019.
 Mediburn Medical Waste Incinerator. Elastec Products website. https://www.elastec.com/products/portable-incinerators/mediburn-medical-waste-incinerator/?gclid=Cj0KCQiAz53vBRCpARIsAPPsz8X5IQMll631d2AjJd5UcVjOfuMPdqyRmtI5cpn91B-guowzcUntkKEaArT6EALw_wcB. Accessed November 17, 2019.