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. 2020 Jun 1;10(6):e035502. doi: 10.1136/bmjopen-2019-035502

Table 2.

Chinese physicians’ perceptions toward API pollution in environment and EPV (n=262)

Survey question/statement Respondents no. (%)
Strongly agree Agree Undecided Disagree Strongly disagree
Q1: APIs used in healthcare practices could finally enter into the environment. 96 (37) 113 (43) 45 (17) 8 (3) 0 (0)
Q2: API residues in environment could cause adverse effects on ecosystem, wildlife species, even human beings. 126 (48) 108 (41) 26 (10) 2 (1) 0 (0)
Q3: It is necessary to minimise the entrance of APIs into the environment. 104 (40) 125 (48) 31 (12) 2 (1) 0 (0)
Q4: The control of API pollution is none of my business, because it should be the responsibility of environmental experts and regulators. 5 (2) 6 (2) 73 (28) 80 (31) 98 (37)
Q5: API pollution could be ultimately traced back to the use of medications in healthcare practices. 113 (43) 96 (37) 50 (19) 3 (1) 0 (0)
Q6: If there is an upstream intervention for controlling API entry to the environment, I would endorse it, and be very pleased to participate in its implementation. 68 (26) 99 (38) 94 (36) 1 (0) 0 (0)
Q7: Based on the description of EPV given on the first page of this questionnaire, I think EPV is an effective tool to control API entry to the environment. 83 (32) 74 (28) 98 (37) 5 (2) 2 (1)

APIs, active pharmaceutical ingredients; EPV, ecopharmacovigilance.