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CHAPTER 14






                                                  Medical and


                                           Pharmaceutical



                                                      Industries







          Overview
               The medical and pharmaceutical industries are among the highest in
               terms of R&D spending as a percentage of revenue and, therefore,
               invest a great deal of effort in product and process development.
               From an environmental perspective, pharmaceuticals, along with
               semiconductors, have a high proportion of non-product output, thus
               offering a large target for resource intensity reduction. It has been
               estimated that the total mass of materials required to deliver one kg
               of product is 25 to 100 kg for pharmaceuticals, compared to 5 to 50 kg
               for fine chemicals, and only 1 to 5 kg for bulk chemicals [1].
                   Another emerging issue of concern is the presence of trace levels
               of  pharmaceuticals in the environment. When pharmaceuticals are
                ad  ministered to patients, some of the active ingredients may not be
               completely metabolized. These residuals are generally excreted through
               the urine and find their way into sewage systems, where they are
               transported to waste water treatment systems that remove most of
               the pharmaceutical residues. However, extremely low concentrations
               may pass through the waste water treatment plant and be discharged
               to the environment. Despite low concentrations, low-level effects
               have been observed in aquatic organisms.
                   Not surprisingly, medical and pharmaceutical companies are
               among the leaders in the application of green chemistry, which offers
               ways to reduce environmental impacts while cutting material and
               energy costs (see Chapter 13). In 2005, several pharmaceutical firms,
               along with the American Chemical Society’s Green Chemistry Insti-
               tute, established a Pharmaceutical Roundtable to promote the inte-
               gration of green chemistry and green engineering in the industry. For
               example, solvents used in production can account for up to 80% of

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