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IFPMA Supports Plastic Materials And Components For Safe And
Effective Medical Production Along With Circular Economy

The International Federation of Pharmaceutical Manufacturers and Associations (IFPMA) supports the UN Global Plastics “Instrument” because it could help create globally harmonized plastic regulations. The IFPMA believes that these regulations are important for driving innovative change while also ensuring that plastic materials and components are safe and effective for medical production.

The innovative pharmaceutical industry is proactively addressing its environmental footprint and embracing sustainable initiatives. For instance, several leading pharmaceutical companies are committed to reducing the impact of plastic waste through the adoption of recyclable and biodegradable packaging materials

Importance of medical and medicinal products for Human Health:

Medical and medicinal products are pivotal in maintaining public health and well-being, driving healthcare outcomes, and supporting economic growth. They prevent disease, alleviate symptoms, cure illnesses, and enhance the quality of life for billions worldwide. From antibiotics and innovative biologics to the COVID-19 vaccines and cutting-edge medical devices, medical and medicinal products represent the pinnacle of scientific achievement and medical progress.

Access to medical and medicinal products underpins global health equity and social justice and, therefore, any requirements related to use and disposal of plastics must not jeopardize the uninterrupted availability of medical and medicinal products even considering the laudable objective of minimizing the negative impact of plastics on planetary and human health. The best way to do so under the Instrument is to establish targeted extended compliance periods for medical and medicinal products to assure the availability of appropriate alternatives that meet the quality, safety and access requirements needed by our patients while alternatives are developed and implemented. Exceptions to limitations on plastic use in healthcare applications must be permitted when no safe or effective alternatives are available. Throughout this process, engagement of regulators will be critical as most changes to manufacturing processes and packaging will need to be approved before being allowed to be marketed.

Plastics1 in medical product manufacturing and packaging:

Plastic materials and components are indispensable in every stage of the pharmaceutical lifecycle, and are crucial for medicine production, quality, and safety. The use of plastics, like any material employed in drug development and manufacturing processes, follows comprehensive and intensive benefit-risk analyses, which are reviewed by experts at health authorities worldwide. Currently, plastic materials and components cannot easily be replaced by other materials while ensuring the same levels of patient and healthcare practitioner safety. For example,

• In drug development, plastics facilitate the synthesis, purification, and formulation of active pharmaceutical ingredients (APIs), enabling precise dosing and controlled release mechanisms.
• Plastics are used in lieu of fiber based materials to minimize contamination due to fiber particulate in pharmaceutical operations.
• Plastics play a crucial role in the healthcare sector due to their unique properties such as versatility, durability, transparency, sterilizability and biocompatibility. In addition, they enable
aseptic and sterile environments during manufacturing of biologics and sterile injectables (for example biobags, tubing, and filters).
• Plastic packaging ensures the integrity, stability, and sterility of medicines, safeguarding their potency and safety during storage and transportation. Whether in the form of vials, blister packs, or infusion bags, plastics offer versatility, reliability, and cost-effectiveness in pharmaceutical packaging that is not easily replicable with other materials.

Broadly speaking, the use of plastics in manufacturing provides a number of important benefits:

.(I) facilitates installation and qualification of equipment, especially in low-income countries; (ii) reduces the amount of electricity and water needed; (iii) increases productivity and scalability; and, (iv) facilitates production in more diverse locations, especially in lower-income countries.

Conscious of the negative impacts that plastic use has on the environment and human health, many companies committed to and are already working to reduce or eliminate the amount of plastic waste as well as supporting more sustainable alternatives, such as recycling and longterm circularity (see
Annex).

Positive efforts by the pharmaceutical industry towards environmental sustainability

The innovative pharmaceutical industry is proactively addressing its environmental footprint and embracing sustainable initiatives. For instance, several leading pharmaceutical companies are committed to reducing the impact of plastic waste through the adoption of recyclable and biodegradable packaging materials. Furthermore, innovative technologies such as green chemistry and continuous manufacturing hold promise for reducing plastic usage and minimizing environmental impact throughout the pharmaceutical supply chain.

However, as mentioned above, plastics are used for a number of different purposes and at different points in the manufacture, distribution and use of medical and medicinal products. The specific function and point at which plastics are used strongly influences the feasibility of replacement of these materials. Specifically, the different quality and safety requirements between primary packaging, secondary packaging and plastics used in production processes affect the ability of manufacturers to replace or reformulate such plastics.

Case studies

Plastic materials which have been in contact with certain drug product process streams present some unique challenges from a waste management standpoint as they can be considered regulated medical waste. Some pharmaceutical companies have been working with waste and materials vendors who are able to treat and recycle this material to produce plastic lumber.

Necessary components are often shipped to pharmaceutical manufacturers in plastic boxes instead of fiber-based boxes to reduce potential contamination of pharmaceutical operations due to particulate. While the material (i.e. polypropylene) typically used is recyclable, suppliers servicing our industry are starting to change the material to 100% recycled polypropylene which reduces greenhouse gas emissions, contributes to demand of recycled material and is also recyclable.

Industry efforts at reducing plastic waste and working towards a circular economy

ASTRAZENECA

From single use to reusable thermal packaging

 

Each year, Astra Zeneca sends 60,000 products to hospitals and clinics for clinical trial distribution. It involves a huge amount of packaging. The original process used a box the size of a small table, each containing 15kg of packaging that had to be thrown away after delivery with recipients being responsible for its disposal. AstraZeneca decided to work with its distribution partner to develop a new approach involving a returns process and make it workable. Some simple ideas like using the brightest coloured paper for returns instructions – a pink envelope gets more attention than just a white sheet of paper. After a pilot, the initiative was rolled-out across 35 countries. The results: 98% return rate and reduced packaging waste equivalent to the weight of a 747-jumbo jets.

SANOFI

Eco-design – Plastic-free packaging for Vaxigrip® vaccine

 

The new Vaxigrip® packaging has been designed to be plasticfree, thanks to a complete cardboard packaging. This new packaging halves the size of the box, which optimizes its storage and reduce its environmental footprint: - 30% reduction of the number of transportations needed (air, sea and road) - 50% reduction of CO2 per box - 25 to 50% reduction of environmental impacts according to the indicator

BOEHRINGER INGELHEIM

Eco-design - Switch from single use to re-usable inhaler

Respimat® re-usable is the result of patient feedback, providing an inhaler with enhancements such as simplified handling and an easy-to-read dose indicator, and significantly reduced impact on the environment. It reduces waste and product carbon footprint (PCF) can be used with up to six medication cartridges before needing replacement. Respimat® is also propellant-free, meaning its CO2 emissions are 20 times lower than those of commonly used pressurized metered-dose inhalers. By 2025, it is expected that 776 tons of plastic waste and 14,300 tons of CO2 emissions will be prevented as a result. 776 tons of plastic waste equals more than 77.6 million 0.5-liter PET bottles.

GSK

Complete the Cycle

73 million respiratory inhalers are prescribed every year in the UK and not disposing of them correctly can be harmful to our environment. GSK created an inhaler recycling scheme, Complete the Cycle, which was the first of its kind for respiratory inhalers in the UK. 2 million inhalers had been collected by 2019 and the scheme led to a wider discussion on how a national inhaler return scheme could be created in conjunction with the wider health care system. By working together with patients, pharmacies and healthcare professionals, we can all help to reduce waste and greenhouse gases, moving towards a more environmentally sustainable treatment of respiratory disease.

CHIESI

Take back pilot - Take Action for Inhaler Recycling

Chiesi launched the Leicestershire Take AIR (Take Action for Inhaler Recycling) pilot scheme in January 2021, to enable inhaler users to recycle their empty, unwanted or out of date inhalers safely and effectively through the post. Any inhaler, brand and type, is accepted. The pre-paid, pre-addressed envelopes are provided by community pharmacies within the area.

The scheme is funded by Chiesi and supported by University Hospitals of Leicester NHS Trust and Leicestershire and Rutland Local Pharmaceutical Committee (LPC).

Inhalers are sent through the postal system, directly to a waste management company, where the component parts of pressurized metered dose inhalers are recycled, and nonrecyclable inhalers are disposed of using the most environmentally appropriate process. Through the scheme, the aluminum canisters are crushed and recycled. The plastic components are recycled into the plastic supply chain and any remaining propellant gas is extracted and reused in the refrigeration and air conditioning industry. Non-recyclable materials are converted into energy through a process called energy-from-waste by high temperature incineration.

Scheme data as of 11th April 2022:

• 147 pharmacies and 3 hospitals participated
• Patients have returned 6,491 envelopes, containing 24,469 inhalers and
• 144 tons of CO2e have been captured

The results from the pilot are being evaluated including quantitative and qualitative analysis, lessons learnt and recommendations for potential upscale through system-wide collaboration. This enables the findings to be shared with relevant stakeholders to support the development of a future sustainable recovery and recycling process for inhalers

( Abstracted from : https://www.ifpma.org/publications/ourposition-on-the-global-plasticsinstrument/#:~:text=Ahead%20of%20negotiations%20on%20a,creates%20globally%20harmonized%20plastic%20regulations. )

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