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INNOSC Theranostics and
            Pharmacological Sciences                            Knowledge, perception, and practices of ecopharmacovigilance



            at both students and public, promoting safe medication   Fatema
            disposal procedures. The campaigns must emphasize the   Writing – review & editing: Sadia Binte Anwar Sonia,
            negative effects of improper medication disposal on the   Iftekhar Hossain Chowdhury, Kamrun Nahar
            environment, in addition to raising public awareness
            about safe disposal practices.                     Ethics approval and consent to participate

              This study establishes the basis for further research on   The study protocol  and the final questionnaire received
            EPV. However, the results may not be as globally applicable,   approval from the Ethics Committee of Armed Forces
            as this study involved a small sample size and was limited   Medical College, Dhaka. Informed consent was obtained
            to one region in Bangladesh. To confirm these findings,   from all participants before their involvement in the study.
            future studies with larger sample sizes and participants   The research adhered to the principles outlined in the
            from other regions of Bangladesh should be carried out.  Helsinki Declaration regarding the ethical treatment of
                                                               human subjects in medical research.
            5. Conclusion
            This first study on EPV among medical students in   Consent for publication
            Bangladesh found that while the students had a positive   Participants consented on the publication of their data.
            perception of EPV, they lacked sufficient knowledge
            and experience with EPV. Although medical students   Availability of data
            were willing to engage in EPV, understanding that   Data supporting the study’s conclusions are not publicly
            pharmaceutical residues in the environment could harm   accessible to preserve participants’ privacy but are available
            the  ecosystem,  wildlife,  and  human  health,  they  still   from the corresponding author on reasonable request.
            required more relevant information. Their understanding
            of the concept, goal, significance, and application of EPV   References
            was limited. Furthermore, the main barrier to the successful   1.   Yu X, Sui Q, Lyu S, et al. Municipal solid waste landfills: An
            implementation of EPV in Bangladesh was identified as a   underestimated source of pharmaceutical and personal care
            lack of awareness. To improve medical students’ knowledge   products in the water environment.  Environ Sci Technol.
            of EPV, further works are needed.                     2020;54(16):9757-9768.
            Acknowledgments                                       doi: 10.1021/acs.est.0c00565

            The authors thank the student participants from Armed   2.   Naidu  R,  Arias  Espana  VA,  Liu  Y,  Jit  J.  Emerging
                                                                  contaminants in the environment: Risk-based analysis for
            Forces Medical College, Mugda Medical College and     better management. Chemosphere. 2016;154:350-357.
            Hospital, and Shahabuddin Medical College, Dhaka, for
            their active participation in the study.              doi: 10.1016/j.chemosphere.2016.03.068
                                                               3.   Wang J, He B, Yan D, Hu X. Implementing
            Funding                                               ecopharmacovigilance (EPV) from a pharmacy perspective:
            None.                                                 A focus on non-steroidal anti-inflammatory drugs. Sci Total
                                                                  Environ. 2017;603-604:772-784.
            Conflict of interest                                  doi: 10.1016/j.scitotenv.2017.02.209
            The authors declare no conflicts of interest.      4.   Wang J, He B, Hu X. Human-use antibacterial residues
                                                                  in the natural environment of China: Implication for
            Author contributions                                  ecopharmacovigilance. Environ Monit Assess. 2015;187(6):331.
            Conceptualization:  Sadia  Binte  Anwar  Sonia,  Iftekhar      doi: 10.1007/s10661-015-4514-6
               Hossain Chowdhury, Kamrun Nahar, Syeda Kaniz    5.   Voigt M, Savelsberg C, Jaeger M. Identification of
               Fatema, Md Abdullah Al Mamun                       pharmaceuticals in the aquatic environment using HPLC-
            Data curation: Muhammad Nurul Alam Siddiki, Kamrun    ESI-Q-TOF-MS and elimination of erythromycin through
               Nahar, Farjana Haque Mitu                          photo-induced degradation. J Vis Exp. 2018;138:57434.
            Formal analysis: Farjana Haque Mitu, Syeda Kaniz Fatema,      doi: 10.3791/57434
               Md Abdullah Al Mamun, Sarmin Sultana
            Methodology: Iftekhar Hossain Chowdhury, Kamrun    6.   Kim HY, Lee IS, Oh JE. Human and veterinary
               Nahar, Syeda Kaniz Fatema, Sadia Sultana           pharmaceuticals in the marine environment including fish
            Writing – original draft: Sadia Binte Anwar Sonia, Iftekhar   farms in Korea. Sci Total Environ. 2017;579:940-949.
               Hossain Chowdhury, Kamrun Nahar, Syeda Kaniz       doi: 10.1016/j.scitotenv.2016.10.039


            Volume 8 Issue 3 (2025)                         66                               doi: 10.36922/itps.7678
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