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BLANKENSTEIN, Giselle Margareth Pilla. Disposal of industrialized medicines for human use in the context of sustainability: critical analysis. 2017. 200s. Thesis (Doctor of Science) – Faculdade de Saúde Pública, Universidade de São Paulo, São Paulo, 2017. Introduction The disposal of medicines without previous treatment impacts on the environment and the quality of life of the people. Disposal also means economic loss. Objective The main objective is understand the dynamics of the disposal of industrialized medicine for human use. Secondary objectives are identify improvement points in the drug disposal process in the city of São Paulo, aiming at reducing its volume and presenting recommendations that intensify the presence of sustainability fundamentals in the procedure of discarding industrialized drugs for human use. Methods This is an exploratory research carried out with a bibliographical and documentary survey and semi-structured questions interview applied with owners of drugstores in the city of São Paulo. Questionnaires with open questions were also conducted on technical visits to professionals involved in discarding initiatives. Results The city of São Paulo carries out the collection of solid waste from health services in establishments that collect the fee for this purpose. In the period 2011-2015 the volume of these wastes increased by 25.12% and the amount collected with the contribution of the rate 450.83%. There is no reverse logistics system for medicines in the city of São Paulo, nor consensus regarding the best technology to be used in the disposal of medicines. Initiatives – some informal ones – have been identified reducing the volume discarded and increasing people’s access to medicines. Conclusion The following recommendations are presented: (i) Sustainability stock indicator; (ii) A model of reverse logistics for medicines in Brazil; (iii) To know qualitatively the discarded drug in order to have elements to review its packaging, to carry out this survey, a web page is made available; (iv) Recognition of technical intermediation as an instrument of PNRS; (V) The social discourse should prevail over the environmental one for the adhesion of sustainable actions.

Descarte de medicamentos industrializados para uso humano no contexto da sustentabilidade - análise crítica