Region Stockholm has agreed a phase-out list for chemicals hazardous to the environment and the health of citizens, employees, and patients. The list comprises chemicals and chemical products e.g., in healthcare, laboratories, dentistry, IT, cleaning, textiles, and allergy inducing fragrances or preservatives. Furthermore, Region Stockholm prevent purchasing and procurement of chemicals and chemical products as well as articles and consumables containing toxic substances that fall within a large number of specified categories, such as: may cause cancer; and may cause inheritable genetic damage. The list is mandatory for all chemical products procured by Region Stockholm. Since 2012 a significant proportion of hazardous chemicals have been phased out, especially from the healthcare sector. The healthcare sector saw a 90 percent reduction in the use of listed substances, decreasing volumes in weight from 1,100 kg to 115 kg. The phase-out list serves as an inspiration for regions and countries around the world.

Philippines: Chemical Control Order for Lead and Lead Compounds (CCO, 2013-24)

With the CCO, the Philippines became the first Southeast Asian country to successfully implement legislation towards lead-safe paint. The policy’s objective is to increase awareness of the toxicity of lead exposure and to provide safer alternatives to protect the health of the population and the environment. It comprises a roadmap with clear definitions, phase-out plans, and decisive instruments with special attention to children. The CCO combines a collaborative top-down and bottom-up strategy with successful implementation. While globally only a few countries have enacted comprehensive bans on the use of lead additives in all paints, the Philippines demonstrate that it is entirely possible to restrict the use of lead in all paints to the maximum limit of 90 ppm, including in industrial paints, which generally have lead concentrations that are up to 10 times higher. By 2020, the local industry had beaten the phase-out deadline for lead paints with a total of 1,395 paint products certified through the new Lead Safe Paint® Certification programme.

Colombia: Resolution 371 Establishing the elements to be considered in the Management Plans for the Return of Pharmaceutical Products and Expired Medicines (2009)

Around 4,000 active pharmaceutical ingredients are being administered worldwide in prescription medicines, over-the-counter drugs, and veterinary drugs. While pharmaceuticals are stringently regulated for efficacy and patient safety, the adverse side effects they may have in the natural environment are a growing topic of concern. In 2009, Colombia introduced Resolution 371 as part of the national policy for regulating waste management from hazardous products. The Resolution’s remarkable feature is that it places the responsibilities and costs of implementation on the manufacturers and importers of pharmaceuticals and medications, in line with the ‘polluter pays’ principle. By 2018, a total of 711 manufacturers and importers participated in the policy, corresponding to 95 percent of the market share. Moreover, a total of 2,593 take-back points had been established to collect medicines, covering 70 percent of the population, and more than 930 tons of medicines had already been properly disposed of. As such, the Resolution represents the first successful compulsory medicine disposal programme in Latin America, which inspires neighbouring countries to develop similar approaches.