Expire medicine is defeated actually entered pregnant woman body!
The near future has media coverage, shaanxi Xi'an is pregnant because 6 weeks pregnant woman vomits, see a doctor to courtyard of health care of local area women and children, according to the doctor the proposal is defeated by dextrose inject fluid, discovered the fluid of the 2nd bottle of inject that is defeated has expired innocently at 6 o'clock in the morning April 13 3 months!
The findings that the government announces subsequently shows, "Drug-store personnel early days bar expire liquid and new additional the liquid is mixed put, duty is walked on not to reach the designated position in the job, not meticulous, existence did not press the issue of neglect one's duty that sets an operation.
The dextrose inject fluid that ▲ expired in January 2019. | graph: Cut of video of stage of broadcasting television of Shaanxi of small gain @ pursues
Is this the haphazard that neglect one's duty causes merely? 39 deep breathing investigate discovery, expire medical problem does not surround the person that watch like news event distance distant in that way, our everybody, possible already place oneself " expire medical industry catenary " in.
The 01 families that took garbage can expire medicine
Released 2014 " Chinese family expires medicines and chemical reagents reclaims white paper " data shows, the family that our country has 78.6% about stock family small medicine chest, but the family of 80% above did not clear regularly the habit of medicine chest, a year of generation of countrywide expires medicines and chemical reagents makes an appointment with 15 thousand tons.
Bought drug is increasing, small medicine chest more and more " fat " , useless medicine, expire medical problem subsequently and come.
The Liu Xue of Beijing is in recently " break abandon from " extremely below the impel of brief concept, did general cleaning, the small medicine chest in home of her assault scanning, discover the medicines and chemical reagents such as gunpowder of stock patulin, dispel, antibiotic has expired mostly, although some drug case is packed,look with new same.
Of ▲ Liu Xue Jiali expire medicine. | suffers the person that visit to offer a plan
Well-known, once medicines and chemical reagents expires to cannot be taken again, because cannot be achieved,can treat the effect otherwise and delay an illness, serious when bring the body more possibly to damage directly.
According to " medical treatment trash classifies catalog " , expire medicines and chemical reagents and fall into disuse, medical treatment trash is belonged to like metamorphism or the deserted medicines and chemical reagents that are polluted. Cannot take not only, also cannot discard at will, can cause the pollution of different level to fountainhead, soil otherwise.
Research data points out, expire 3 times the environmental harm that medicines and chemical reagents causes is useless old batteries, one expires pill can pollute 1900 stere water natural resources.
The influence that medicines and chemical reagents pollutes is met finally in the working life to people, some closer year appear be able to bear or endure the super bacterium with extremely strong property of a medicine, take antibiotic besides excessive, discard at will with antibiotic, enter environment to also have certain connection.
▲ super bacterium (Superbug) not be to refer in particular to some to plant bacterium, however a variety of those pairs of antibiotic have be used in a general sense be able to bear or endure the bacterium of property of a medicine, its exact name should be " multiple be able to bear or endure bacterium of property of a medicine " . This kind of bacterium can have powerful counteractive effect to antibiotic, can escape the danger that is exterminated. | graph: Originoo.com
Informal processing expires the harm of medicines and chemical reagents, liu Xue has knowledge a bit, but do not throw, how should be handled after all?
She thinks what some drugstore place to expire medicines and chemical reagents reclaims box, however, she goes mixing near the village near the company sought advice from 56 drugstore, all be informed " not " .
Should ask about expire when medicine has the processing idea with good what, drugstore clerk says mostly: "Throw Oh, if worry to be reclaimed by 2, cut with shears broke the bag rises to be thrown again. Cut with shears broke the bag rises to be thrown again..
Clerk of a drugstore is special still enjoin Liu Xue, buy bit of drug less later, buy drug now so convenient, had better need to be bought again. But actually, although press,need to buy, also cannot avoid completely to expire medicine.
In Home Liu Xue expire in medicine, some are family buy oneself in order to have of untimely needs, some are the medicine that go to what hospital doctor gives eating. Liu Xue takes to fight allergic drug, to explanation of 39 deep breathing, this medicine has two board, every board have 56, but after eating 9 at that time, hypersensitive shape alleviates disappeared, later a few years " the situation that I and family had not encountered allergy again, medicine such when expired. Medicine such when expired..
Did not find processing to expire in drugstore medical plan, the Liu Xue of not reconciled to is used again " expire medicines and chemical reagents reclaims box " inquire on map software for the keyword, in Beijing search arrived 9 destination, and the seat that leaves oneself is not close. Final, liu Xue does not think do sth over and over again, according to the requirement of drugstore clerk, come out pill dig or dig out with a finger or sth pointed, throw in ash-bin.
▲ expires in map software search medicines and chemical reagents reclaims box, beijing appears only 9 places. | APP cut pursues
"The rubbish station of the village just can reclaim and cannot reclaim to be classified simply, the consciousness that everybody also did not classify common life rubbish, it is what has in every dustbin. " Liu Xue says, assure these expiring medicine is not used by hellion, be the business that she can do exclusively.
▲ looks for less than reclaiming box, liu Xue will expire finally medicines and chemical reagents tears apart the garbage can that is thrown in the village. | suffers the person that visit to offer a plan
02 drug dealer reclaims medicine flows to small chemist's shop finally!
What Liu Xue says " be used by hellion " it is to show medical dealer is paid reclaim expire medicine. She remembers clearly, oneself just came to the old village that lives when Beijing, riding a bike with respect to somebody, cry with small horn " receive drug " , include to expire medicine.
Where did these medicine be overdued by what medical dealer reclaims go to finally?
About this, media has a large number of stories early, big city reclaims expire medicines and chemical reagents basically flows to the rural small clinic with underdeveloped economy or black clinic of the village in lacking superintendency city, return some to pass rework, change new pack and new lot number, pass on sells small chemist's shop.
This kind of phenomenon, whether to still exist?
On April 23 afternoon, the clue that 39 deep breathing provide according to the reader, will be located in Beijing on the west the cure of liberation army total medical service of 4 annulus center of the 5th medicine (302 hospitals) , just issued a bus to see those who be thrown on the ground accept medical calling card. Go nearlier toward hospital gate, calling card receiving drug is more, there also is black carbon element on roadside step pen-and-ink information receiving drug, the person that takes on step has male have female, those who carrying a bag on the back is to come loose the person of calling card.
Everywhere of ▲ hospital doorway accepts medical calling card it is thus clear that. | photographs: Li Xiao deeps and clear
When we are seeing a piece of calling card, one each says the man that receives drug walks over to ask: "Are you to should sell drug? "Are you to should sell drug??
This person receiving drug says, do not receive the drug that has expired, "Expired, still what is used ah " , but reclaim from the medicines and chemical reagents that expires to still have 34 months. When us with there is a few in the home fast overdue 2 armour double guanidine can sell, the inquiry is specific when buying the price, the other side says, need sees ability of specific birth date quotes.
▲ can sit there is black carbon element on the person's step pen-and-ink information receiving drug. | photographs: Li Xiao deeps and clear
In fact, the expiration period remains the drug of 34 months only, although not be firm sense,go up expire medicine, but can be regarded as to draw near normally in the hospital expiration period medicines and chemical reagents, make processing of exchange a purchase. Person receiving drug also admits, this kind did not expire but fast overdue medicine does not have method again pass on sells drugstore, can cheap the client that sells need to take this kind of drug now.
According to the classification of person receiving drug, these drug that still have 34 months expiration period also are by put under " the medicine with bad date " , basically be the client that petty gain sells need to take this kind of drug now. Still have a year even a year much medicines and chemical reagents is " the medicine with good date " , final flow direction " the drugstore near door mouth, community " .
"Drugstore takes a drug normally 30 (yuan) , from us this receives gift 25 (yuan) , final drugstore sells or sell by the price of new drug, everybody won't buy a big drug, of medical case individual pack as long as be board (in good condition) go. " person receiving drug says, 2 armour double guanidine such masses medicine basically is pass on sells drugstore, tumor target to medicine it is the individual will seek advice more buy.
When what can be revised to produce date and period of efficacy after 39 deep breathing put forward these medicine to be bought is anxious, this person receiving drug is denied stoutly, "These not changing, the person that changed to buy can be looked at directly come out. The person that changed to buy can be looked at directly come out..
When the concern that expressed quality of pair of this kind of medicines and chemical reagents when us, person receiving drug is patting chest guarantee immediately again: "Human life closes a day, have a thing I cannot eat to moving round to go, phone real name is made, want not to run. Want not to run..
But, eat really gave an issue, where purchaser calls loss again?
Is 03 hospitals, drugstore to expire the emancipator that medicine reclaims?
The family is the last link with current medicines and chemical reagents, also be to appear expire main setting of medicine, before entering a family, medicines and chemical reagents basically is mixed in the hospital drugstore, these two places are faced with processing to expire likewise medical problem.
He Ting of apothecary of vice director of room of Chinese traditional medicine of hospital of east of university of medicine of Beijing traditional Chinese medical science introduces, to assure have enough to meet need and limitative inventory, the case that medicines and chemical reagents expires appears rarely, medicaments " if slow-moving, appear easily fast the circumstance that expire, the hospital is general go back manufacturer. If the sale still goes, close period of efficacy, can change with manufacturer, change a few new lot number, if be the medicines and chemical reagents of special government,be about to do discard as useless processing.
Of community drugstore expire is if where manages,medicine? 39 deep breathing visited a few chemist's shop of Beijing randomly, major drugstore states meeting general expires head office of medical go back unites processing, as to how does processing all express " not quite clear " , a lesser par drugstore discloses, if expire medical amount is smaller, also can throw away by oneself processing.
▲ graph: Originoo.com
Hospital and drugstore regard sale as the mainest terminal of medicaments, as a result of OK and direct face-to-face the person that bring into contact with buys drug, also should assume it seems that reclaim the family expires medical responsibility. The hospital serves an orgnaization as medical treatment, in expire the work that medicine answers debit face is not much, contrary, the chemist's shop that the site melts is expressed great expectations, also did many works really.
Controller of drugstore of domestic some chain tells 39 deep breathing, hold besides him drugstore reclaim activity, medical look forward to also can cooperate actively with drugstore. The family that drugstore reclaims expires medicine will be unified make a headquarters, pay cost to give professional tripartite orgnaization processing, it is to burn commonly the means that waits for rubbish of similar processing life.
Of single drugstore reclaim the activity is short-term activity mostly, and incidence is finite, of consequence of model of etiquette of body of scan widely country still should belong to look forward to of Guangdong some medicine took the lead in August 2018 hold water " expire medicines and chemical reagents reclaims terminal is allied " .
Numerous line issues those who interlink drugstore to join, consociate is enclothed " nearly 20 thousand drugstore, the site spreads all over the whole nation " , happy of the drugstore on the line such as the health in health medicine, A join, adopt network platform, enlarged force.
▲ expires method reclaims on line of medicines and chemical reagents. | network picture
But even if has medical look forward to to take the lead, chain drugstore paste publicizes annunciate, can attract the person that buy drug actively to return drugstore to will expire the effect that medicines and chemical reagents has reclaiming, still very finite.
Expire where does bout of medical interconnected system receive a mechanism to be in hard?
Establish the lasting effect mechanism that domestic medicines and chemical reagents reclaims, let the average citizen like Liu Xue, can resemble looking for convenience inn one of these day same, find reclaim the orgnaization of medicaments, it is optimal condition.
However, ideal is plump, reality is bone feeling, expire bout of drug interconnected system receives a mechanism to facing multiple test likewise.
It is to combine all drugstore to have difficulty above all.
" annals of superintendency statistic of medicines and chemical reagents of 2017 year provision " show, end by November 2017, our country shares about 454 thousand retail drugstore, interlink drugstore amount to be 229 thousand among them, chain is changed rate achieve 50.4% .
Although look on the number, amount of chain door inn has exceeded monomer drugstore, but the chemist's shop that still has an in part is the monomer drugstore that lacks an organization, similar preamble mentions reclaim terminal is allied, induct its very hard come in.
Next, reclaim although medicines and chemical reagents is commonweal property mostly, but also face economic cost problem at the same time.
With " expire medicines and chemical reagents reclaims terminal is allied " for exemple, allied enterprise was mixed every year in March will do an activity twice in August, superintend a code through cleaning out treasure or the electron that pay treasure to sweep medicines and chemical reagents to wrap mount, express little elder brother receives drug. However, during such advantage are confined to an activity, if you are in this to was swept in April, had not answered income mouth.
▲ pays treasure or clean out treasure to sweep reclaim expire medical activity, already did not answer income mouth at present. | APP cut pursues
" Chinese family expires medicines and chemical reagents reclaims white paper " exposure, our country arises every year expire medicines and chemical reagents makes an appointment with 15 thousand tons, this data looks be like breathtaking, but the amount is not actually large.
39 deep breathing interview the commonweal personage that pursues environmental protection career to, he introduces, from the point of this data, expire medical volume is relatively average for life rubbish, be too little really, on north wide deep this kind of a bit bigger city, single city everyday life rubbish already 20 thousand tons.
More important is, "Expire medicines and chemical reagents can consult only the way that danger wastes management deals with, one ton is hundreds of, go up even 1000, cost is too high. Cost is too high..
Early days is collected, later period destroy by melting or burning, manpower, carry, destroy by melting or burning, every link needs money, face similar rubbish to expire with respect to unprofitable originally medicines and chemical reagents, is the drugstore of commercial property willing to buy sheet for a long time?
▲ former state feeds net of official of medical inspect total bureau to inquire information, each district surrounds retrace to received medicine to begin a few works. | graph: Former state feeds net of official of medical inspect total bureau
Some cities return medicines and chemical reagents the content that receives drugstore assessment, if Liaoning saved Dalian city to come on stage " Dalian city decides a dot to reclaim the family expires unused medicines and chemical reagents runs way " (try out) , choose 205 medicines and chemical reagents to interlink (retail) the enterprise begins a knock off to make everyday. Reclaim when medicines and chemical reagents standard of as all ready as drugstore aptitude, management, credit is good wait for connection to rise, drugstore is willing to be this kind of potential brand effect to pay probably.
Still the personage inside course of study suggests, want to build expire medicines and chemical reagents reclaims system, encourage more enterprise to participate in come in, should manage to drug production it is enterprise, certain to participate in reclaiming retail drugstore to give reward or adopt derate tax policy.
▲ of Australia " the country discards medicines and chemical reagents reclaims processing plans " by mix federally door of Ministry of Public Health is contributive, to all expiring medicaments undertakes reclaiming freely. The project placed medicines and chemical reagents to reclaim in the community drugstore of countrywide each district bucket, all giving the drug that drugstore deals is met finally by sealed rise, send high temperature incinerator in the center immediate destroy by fire. | graph: Www.returnmed.com.au
If say " who will draw out money " it is the problem that a little scope solves, that expires medical fountainhead -- domestic medicine industry is produced can superfluous, it is the difficult problem of whole medicine industry.
In numerous medicine problem, expire medicine reclaims is small topic for discussion of an industry endmost, the sunshine of policy and popular look from beginning to end have not focusing is here. In happiness period before Xu Shi shows, as the individual that buys officinal drug, what can do is probably not store up medicine, do not give expire medicine adds a brick to add tile.
(requirement of the person that merit is visited, the full name in article all is alias)
Reference material:
[1] " Xi'an responds to " medicine of pregnant woman infusion expires 3 months " : Expire really decanal suspend sb from his duties " . People's Daily
[2] " expire medicine has 3 great harms, do not lose casually " . Jinan times
[3] " expire medical pollution is spent is useless batteries 3 times " . Henan business signs up for
[4] " medicines and chemical reagents of 2017 year provision superintends statistical annals " . National medicines and chemical reagents controls network of management board official
[5] " city of Liaoning province Dalian decides bit of drug-store 205 times to reclaim certainly the family expires unused medicines and chemical reagents " .