0258/2024 - Implantação da logística reversa de medicamentos e de suas embalagens em São Paulo: avanços no primeiro ano (2021) Implementation of reverse logistics for medicines and their packaging in São Paulo: advances in the first year (2021)
O Brasil iniciou em 2020 o sistema de logística reversa de medicamentos (LRM) como forma de gerenciamento desses resíduos. Em 2021, o estado de São Paulo antecipou a meta geográfica de implantação do sistema de LRM para municípios com população ? 200 mil habitantes. Nosso objetivo foi analisar o desempenho do sistema de LRM em São Paulo durante o ano de 2021. Trata-se de um estudo ecológico sobre o desempenho do sistema de LRM implantado nos 40 municípios paulistas com operação iniciada em 2021. Nós usamos a base de dados gerada pelo operador do sistema de LRM (LogMed). A antecipação da meta geográfica permitiu que o sistema de LRM atendesse aproximadamente 64% da população do estado. Foram coletados 35.514,61 kg de resíduos nesses 40 municípios, quantidade que poderia ser maior se Itapevi tivesse iniciado a sua operação. Em geral, os Departamentos Regionais de Saúde (DRS) com maiores populações atendidas coletaram as maiores quantidades de resíduos. Porém, não existe relação direta entre o número de pontos fixos de recebimento implantados, o cumprimento da meta populacional de implantação de pontos fixos e a coleta de resíduos per capta nos DRS. Campanhas educativas sobre o descarte de resíduos de medicamentos são essenciais para melhorar o desempenho do sistema de LRM.
Palavras-chave:
Descarte de medicamentos; programas de devolução; Departamentos Regionais de Saúde.
Abstract:
Brazil started the reverse medicine logistics system (RML) in 2020 as a way of managing this waste. In 2021, São Paulo State brought forward the geographic target of implementing the RML system for municipalities with a population ≥ 200 thousand inhabitants. Our objective was to analyze the performance of the RML system in São Paulo during 2021. This is an ecological study on the performance of the RML system implemented in the 40 municipalitiesSão Paulo with operations starting in 2021. We used the database generated by the RML system operator (LogMed). The anticipation of the geographic target allowed the RML system to serve approximately 64% of the state´s population. 35,514.61 kg of waste were collected in these 40 municipalities, amount that could be greater if Itapevi had started its operation. In general, the Regional Health Departments (RHD) with the largest populations served collected the largest amounts of waste. However, there is no direct relationship between the number of fixed collection points implemented, compliance with the population target for implementing fixed points and waste collection per capita in the RHD. Educational campaigns on the disposal of pharmaceutical waste are essential to improve the performance of the RML system.
Keywords:
Medicine disposal; take-back programs; Regional Health Departments.
Implementation of reverse logistics for medicines and their packaging in São Paulo: advances in the first year (2021)
Resumo (abstract):
Brazil started the reverse medicine logistics system (RML) in 2020 as a way of managing this waste. In 2021, São Paulo State brought forward the geographic target of implementing the RML system for municipalities with a population ≥ 200 thousand inhabitants. Our objective was to analyze the performance of the RML system in São Paulo during 2021. This is an ecological study on the performance of the RML system implemented in the 40 municipalitiesSão Paulo with operations starting in 2021. We used the database generated by the RML system operator (LogMed). The anticipation of the geographic target allowed the RML system to serve approximately 64% of the state´s population. 35,514.61 kg of waste were collected in these 40 municipalities, amount that could be greater if Itapevi had started its operation. In general, the Regional Health Departments (RHD) with the largest populations served collected the largest amounts of waste. However, there is no direct relationship between the number of fixed collection points implemented, compliance with the population target for implementing fixed points and waste collection per capita in the RHD. Educational campaigns on the disposal of pharmaceutical waste are essential to improve the performance of the RML system.
Palavras-chave (keywords):
Medicine disposal; take-back programs; Regional Health Departments.
Paludetti, D. X., Wagner, G. A., Duarte, C. G., Kummrow, F.. Implantação da logística reversa de medicamentos e de suas embalagens em São Paulo: avanços no primeiro ano (2021). Cien Saude Colet [periódico na internet] (2024/jul). [Citado em 12/07/2025].
Está disponível em: http://cienciaesaudecoletiva.com.br/artigos/implantacao-da-logistica-reversa-de-medicamentos-e-de-suas-embalagens-em-sao-paulo-avancos-no-primeiro-ano-2021/19306