Wallingford: Drop-box decision – Editorial in the Record Journal Sunday March 17, 2013

As published in the Record Journal on Sunday March 17, 2013

Wallingford Police Chief Douglas Dortenzio should reconsider a recent decision to deny installation of a medication drop box in his department’s station.

Abuse of prescription pills is a harmful problem in communities of all types. Ingesting analgesic opioids like Oxycontin and Percocets causes euphoric feelings analogous to taking heroin, a similarly constructed compound. And like heroin, these powerful pain-killing medications, when used recreationally and frequently, lead to addiction, increased tolerance, greater doses required to achieve highs, escalating health problems and, in some cases, overdose and death. Doctors prescribe these potent drugs for individuals in extreme pain. After removing their molars, dental surgeons may send people home with a few Percocets. It’s not uncommon for discharged patients to take analgesics appropriately until physical anguish subsides, but then leave half-filled medicine bottles in household cabinets. Friends and relatives can then steal unguarded, unused opioids for personal abuse or to sell. Addicts sometimes break into residences in search of these narcotics.

Many citizens may not realize the danger of old pills stored in closets and bathrooms. Thus, one would think Wallingford law-enforcement representatives would support local systems for collection and destruction of unwanted prescriptions. Instead, Dortenzio dismissed reasonable requests from the Coalition for a Better Wallingford to establish a public drop box in police headquarters.

The chief’s arguments are illogical. The “most common method” for prescription disposal, he curiously proffered, is for residents to throw away unwanted pills (R-J, 3-14). Surely, Dortenzio in his long career must understand that mono-focused addicts, without second thought, could rip through someone’s trash should they think Oxycontins buried within. And his suggestion that drop-box installation would cause foot traffic issues in police headquarters and parking problems outside is an overestimation of logistics.

“I can’t be a substitute for responsible citizens,” Dortenzio stated in our news story. But wouldn’t responsible action for residents be bringing drugs to police for proper, documented, supervised destruction? The chief also believed maintaining a drop box would require from his department too extensive commitment of man-hours and paperwork. However, 27 state towns already provide comparable disposal services, including Cheshire and Southington. It’s worth the extra effort to save local lives and boost community safety.

Members of the Coalition for a Better Wallingford have secured state grants and local-business support so that drop box purchase and drug destruction would cost taxpayers nothing. Brought before Town Council, the concept received mostly warm reception. Legal approval, however, may remain under the authority of Dortenzio.

He should end his resistance. At the very least, this would be symbolic of town police supporting thorough means of limiting local drug abuse. But a public drop box could also accomplish much more — it would offer residents a safer option for ridding homes of unused prescriptions while also serving as a proactive step toward deterring crime and addiction.

A town-wide health issue – an editorial by Eric Cotton of the Record Journal

As published in the Record Journal on Sunday March 17, 2013

Reach Eric Cotton at ecotton@record-journal.com or (203) 317-2344. Follow him on Twitter @ecotton3

Wallingford Police Chief Douglas Dortenzio last week recommended that people dispose of unwanted medication by simply throwing the drugs in the trash as opposed to the town creating a secure drop-off box in the police department lobby — even though similar drop-off boxes have been successful and uncontroversial in other communities.

While the town runs two drug take-back events per year, it’s just a bad idea for residents to leave items like powerful narcotic painkillers around the house until then — and it can be just as dangerous to throw them in the trash.

In fact, the Food and Drug Administration recommends AGAINST throwing many narcotic painkillers in the trash under ANY circumstances, even though the state Department of Consumer Protection website says it’s OK with proper precautions.

The FDA provides a list of painkillers that it says should never be disposed of in the trash, including Oxycontin, Oxycodone, Demerol, Percocet and morphine — the kind of opiate painkillers responsible for many overdose deaths.

In the absence of a community drug take-back option, FDA officials agree with the state DCP that other unwanted drugs may be thrown in the trash, as long as they’re mixed with undesirable substances like kitty litter or coffee grounds and placed in a sealed bag.

But “drugs such as powerful narcotic pain relievers and other controlled substances carry instructions for flushing to reduce the danger of unintentional use or overdose and illegal abuse,” according to the FDA website, which explains that the risk of accidental exposure or abuse outweighs environmental concerns if there’s no take-back option available. “For example, the fentanyl patch, an adhesive patch that delivers a potent pain medicine through the skin, comes with instructions to flush used or leftover patches. Too much fentanyl can cause severe breathing problems and lead to death in babies, children, pets, and even adults, especially those who have not been prescribed the drug.”

The FDA website quotes Capt. Jim Hunter, senior program manager on the administration’s Controlled Substance Staff: “Even after a patch is used, a lot of the drug remains in the patch so you wouldn’t want to throw something in the trash that contains a powerful and potentially dangerous narcotic that could harm others.“ Flushing isn’t a great alternative from an environmental standpoint, so why not create a secure drop box? Dortenzio says it would be too onerous for his staff, but Southington police say it only takes about 15 minutes a week to clean out the box they installed in December. That includes weighing the medication and filling out a brief form.

Dortenzio also claims that safely disposing of medication is a matter of personal responsibility and not the town’s concern, which is frankly insulting. If the state and federal governments can’t agree on a proper procedure, what’s the average resident supposed to do?

Federal rules say that, if a city or town opts to have a drop box, it has to be in the police department. But it’s not enough for Mayor William W. Dickinson Jr. to simply defer to his police chief as if this were a minor matter of department administration. It’s really a town-wide public health issue and thus it’s appropriate for the mayor to overrule the chief.

Will the drop box solve the problem of local drug abuse? Of course not, but it’s a step in the right direction and an important resource for residents.

Wallingford Police Chief: No need for drug drop-off

As published in the Record Journal on Thursday March 14, 2013

By Andrew Ragali
Record-Journal staff
aragali@record-journal.com
(203) 317-2224
Twitter:@AndyRagz

WALLINGFORD – Residents should take personal responsibility and dispose of unwanted medication on their own, said Police Chief Douglas Dortenzio, who opposes a medication drop box at the police station.

While Dortenzio said he is “not opposed to the concept of disposing of drugs” for safety reasons, he said “the general public has been disposing of personal medications for decades without the assistance of law enforcement.”

The safest way to dispose of medication is to put it out with the trash, he said. “I can’t be a substitute for responsible citizens.”

Dortenzio was responding to a request from the Coalition for a Better Wallingford, which continues to push for a medication drop box at police headquarters.

A founding member of the group, Ken Welch, presented his case for the medication drop box before the Town Council on Tuesday night. Following Welch’s presentation, Mayor William W. Dickinson Jr. said he would defer to Dortenzio on the question of installing and operating a drop box at the police station.

“The most common method that’s available to everyone is to dispose them in the garbage,” Dickinson said.

Welch said “there’s no good reason” to oppose a medication drop box at the department. He said the push for a drop box was part of the coalition’s work to stem the tide of drug use and overdose deaths in Wallingford. Welch said the Police Department considered a medication drop box months ago, but he “was told it was undoable” because of stringent requirements by the U.S. Drug Enforcement Administration, which oversees all medication drop box programs in the nation. At the time, Welch said the DEA required every pill in a drop box to be inventoried, which he agreed would be a tedious and wasteful task. Those requirements have been lifted, Welch said, and now the Police Department must only report the total pounds collected annually.

But Dortenzio said Wednesday that current requirements are impractical.

“The conditions of doing these drug boxes are more cumbersome than what we do on a daily basis,” Dortenzio said, explaining that when drugs are seized by law enforcement, they are easier to process.

To legally have a medication drop box, Dortenzio said, two officers must have independent keys to open the box. Every time the box is opened, he said, medication must be logged and weighed, and a case report must be filed. That doesn’t happen with other drug seizures, Dortenzio said.

Dortenzio also argued that the Police Department lobby is not suitable for a medication drop box because of its small size. Placing the box in the lobby would create handicapped- accessibility issues, he said. Dortenzio said parking is limited as well, which would make it difficult for people to stop by and drop off medication. Dortenzio said the medication drop box can’t go anywhere besides the lobby because at least one police officer must be able to see the box throughout the day.

“It’s got to be an efficient and effective means,” Dortenzio said, adding that the debate alone had been helpful in spreading the word to rid households of unnecessary medication.

Welch said the coalition can have the box paid for through a grant, and Covanta Energy has agreed to burn the medication free of charge. He said that labor expenses are the only issue the Police Department would have to deal with,and those expenses are “worth it.”

He said 27 towns in the state have already adopted medication drop boxes, including Cheshire and Southington.

Major pharmacies in town, such as Stop & Shop, Rite Aid and CVS on North Colony Road, and Walgreens on South Colony Road, do not have any drug take-back programs.

Since December, Welch said, the Southington Police Department has collected 400 pounds of unwanted medication. Southington Police Sgt. Mike Baribault said that department’s drop box is emptied monthly. Every time it’s emptied, he said, a police report is filed and the medication is stored in the evidence room until it is destroyed.

Dortenzio said that, whether medication is discarded in residential trash or in a drop box, it’s all burned at the same location, so there’s no point in a medication drop box.

Town councilors were more receptive to the idea, however. On Wednesday, Town Councilor Tom Laffin said that discarding medication in the trash isn’t the answer because people desperate to abuse medications can easily rummage through the trash and salvage what was thrown out. But Dortenzio said that “if a parent has a suspicion that their children do that, it’s incumbent on the parents to dispose of the medication when their children aren’t watching.” Laffin, along with a majority of the Town Council, showed support for the drop box on Tuesday night. The subject was tabled so that the council could obtain more information on the process.

“I think it’s a good idea,” Laffin said Wednesday. “I know there’s some work to do and logistics to go over.”

Town Councilor Rosemary Rascati said Wednesday that she also supports the plan, but wants more information because “I don’t know exactly what it entails.”

“My initial reaction is that it’s a great idea,” she said.

While Town Councilor Vincent Cervoni said Wednesday that he is “generally supportive” of the drop box, “I just have to figure out how to make it happen.”

“I don’t know that I’m sold (on) the idea totally at this point,” said Town Councilor Craig Fishbein, who cited accessibility issues and DEA requirements as potential roadblocks.

Town Attorney Gerald Farrell Sr. said the council doesn’t have the authority to get the drop box installed. He said he couldn’t comment on whether the mayor could instruct the police chief to install the box because it is a hypothetical question. Dickinson said that theoretically he is the public safety director for the town and could direct the Police Department, but a medication drop box is “not the prime mission of the department.”

Dortenzio “is the person who knows best what needs to be done on a daily basis in order to accomplish any given task,” Dickinson said, adding that he understands the chief’s concerns.

While Dortenzio is against a medication drop box at the Police Department, he said the department takes part in a drug take-back program administered by the DEA twice a year. The next event is April 27, when he said a circular path is created at the driveway of the police station so residents can drive through and conveniently “just hand it off.”

Welch said he would continue to fight for the drop box. “We’ve dealt with each of the chief’s objections,” he said. “I would like to believe they’re putting a healthy effort into putting in a drug box ... It’s painful that you have to waste time on these arguments.”