Aged Care Insite Issue 105 | Feb-Mar 2018 | Page 23

practical living a new course of antibiotics and then start again. We don’t want antibiotic resistance continuing, and that’s one of the ways it can, because bacteria can change to become more resistant to treatment. What were the other reasons people held on to unused medicines? Around 75 per cent of people in the study told us they kept them in case they needed them again. Around a third reported that they felt it was a waste of money to dispose of their medicines, and less than 20 per cent said they didn’t know how to dispose of them. The last group, less than 10 per cent, said they give away their medicines or share them with family and friends if they needed them. Of those who were disposing of their medicines, how were they doing it? Were there any concerning findings there? Well, we were quite surprised, and this was part of the reason why the RUM program asked us to undertake this piece of work: to look at what people were doing with their medicines, how many they were storing, and if and how they were discarding them. We found that most people, around 65 per cent, were disposing of their medicines in their household rubbish. And about a quarter of them were pouring medicines down the sink or into their toilets. So only around one in five were taking their medicines back to a pharmacy where they could be disposed of safely. What are some of the main issues with disposing of medicines in the rubbish or down the drain? Medicines flushed down the toilet, poured down the sink or put out with the garbage can damage the environment because they get into our waterways, and once they’re in our waterways, this exposes plants, animals, fish and potentially humans to medicines and they’re metabolised. We don’t know all of the impacts, but we do know there are some negative impacts on fish and plants, and we need further research into whether this could be very negative for humans as well. What advice would you give