Building staff in New York City, particularly in affluent areas, are facing a heightened risk of needle-stick injuries due to the improper disposal of used syringes. Property management companies are issuing warnings to residents as the use of injectable medications for weight loss, fertility treatments, and hormone replacement therapies increases.

One luxury building on the Upper East Side recently alerted residents after a staff member was pricked by a needle found in the trash, an incident that was not isolated. AKAM Management, which oversees the property, stated that a staff member was injured by a needle placed down the compactor chute. The notice emphasized the need for residents to manage household trash properly to avoid injuring staff or others.

Data from the Department of Sanitation indicates a citywide increase in such incidents. In 2022, sanitation workers reported 25 needle-stick injuries, a number that rose to 46 in 2025. Through May of 2026, 35 injuries had already been recorded. While the department could not comment on specific building conditions, it acknowledged the ongoing risk posed by improperly discarded needles.

Rising Use of Injectable Therapies

The surge in injuries is linked to the growing popularity of injectable medications. Approximately 12% of American adults now use GLP-1 agonists, according to a recent Gallup survey. The Upper East Side, known for its focus on aesthetics, has seen high rates of GLP-1 prescriptions. This trend, combined with increased use of syringes for IVF, hormone replacement, and other peptide therapies, means more residents are generating medical waste without clear disposal guidelines.

Valerie Ann Fiume, Senior Director of Condo & Co-op Services at Camelot Property Management, noted that injectable wellness treatments have become more common, leading to increased incidents. Camelot superintendents have reported multiple needle-related events in Manhattan buildings, including on the Upper East Side and in Soho. The issue appears to be spreading, affecting both younger and older residents.

Management and City Guidelines

Building management companies are urging tenants to be aware of the risks and to dispose of sharps safely. Emails sent to residents in luxury buildings have reminded them not to dispose of sharp objects in trash chutes. While some companies have declined to comment on specific incidents, many acknowledge growing concerns over improper sharps disposal.

Camelot Property Management stated that staff safety is a top priority and that they work with residents to establish protocols and educate them on proper disposal methods, encouraging the use of approved sharps containers. For building workers, a needle-stick injury can cause significant stress and potential medical costs, especially as they may not know the source of the needle.

New York City guidelines require residents to place used syringes, needles, and other sharps in a sealed, puncture-resistant container labeled "home sharps" before putting them in the trash. Alternatively, used sharps can be taken to hospitals, nursing homes, SAFE Disposal Events, or designated collection sites. The city is also expanding the use of containerized trash collection and mechanized pickup systems to reduce direct contact between workers and refuse, thereby minimizing risks associated with improperly discarded sharps.