Needlestick injuries expose us to bloodborne pathogens, including HIV, Hepatitis B and C, and other viruses. Traces of antibiotics found in river and lake water samples are shifting the delicate balance of aquatic ecosystems. Nicotine (among other toxic substances) in e-cigarettes, vape pens, and cartridges are considered hazardous waste. Vape batteries can start landfill and transfer station fires. What about other items such as inhaler cartridges, epi-pens, needle storage devices?