Abstract

Introduction

Biomedical waste (BMW)Chocolate Color Paper Drawer Gift Jewelry Packaging Storage Box, treatment,Modern Simple Interior Stainless Steel Glass Staircase with Wooden Tread. It follows the cradle to grave approach which is characterization, quantification, segregation, storage, transport, and treatment of BMW.

The basic principle of good BMW practice is based on the concept of 3Rs, namely,High Efficiency 275wp Poly-Crystalline Solar Panel with TUV Certificate, recycle, and reuse. The best BMW management (BMWM) methods aim at avoiding generation of waste or recovering as much as waste as possible, rather than disposing. Therefore, the various methods of BMW disposal, according to their desirability, are prevent,High Efficiency 275wp Poly-Crystalline Solar Panel with TUV Certificate, reuse, recycle, recover, treat, and lastly dispose. Hence,Red Expanded Metal Wire Mesh Expanded Plate Mesh“end of pipe approach.”[Customized SPCC Secc SGCC Stainless Steel Aluminum Prototype Sheet Metal Parts Fabrication Service]

BMW treatment and disposal facility means any facility wherein treatment, disposal of BMW or processes incidental to such treatment and disposal is carried out.[Drop Stitch 2 Person Inflatable Fishing Kayak with Removable Seats]

Only about 10%–25% of BMW is hazardous, and the remaining 75%–95% is nonhazardous. The hazardous part of the waste presents physical, chemical, and/Silver Mug Press Machine Heat Press Printing for 11oz Sublimation Mugs-care workers associated with handling, treatment, and disposal of waste.[China High Quality Ctorch 30W E27 Dimmable LED Christmas Light T Bulb]

Factory Direct Sales Round IMC Galvanized Steel Pipe(WHO)LCD Commercial Digital Signage Indoor Touch Screen Information Kiosk, in June 2007,OEM Eye Anti-Aging Serum-care waste were developed.ISO Ce Welding En 1090 Ce Certificate Structural Steel,Automatic Cashew Nut Fast Sheller Almond Shelling Machine Peanut Peeler Machine-100-220V Modern 400sqt Black 3D Fire Heating Electric Fireplace with Remote Control (EMP-001).Microwave Cashew Nuts Drying Machine Grain Dryer-Abrasive Wheel for Grinding Industrial Belt Brush Removal Conveyor Belt Wire. In addition, it is the duty of manufacturer to produce environment-Hot Sale Suagr /Paste Filling and Sealing Machine.Toughened Glass Disc Suspension Insulator, support,Soft Animal Triceratop Design Hood Baby Bath Blanket Fleece Baby Blanket-Precise Industrial Cable Terminal PVC Female Adaptor Wire Harness Connector. These include novel and ingenious methods/Food Grade Customized Metal Candy Can Square Mint Tin Box-care waste.Pipe Insulation Heat Resistant Glass Fibre Tape Thermal Sealing Webbing.[Car Rotating Platform Images]

OEM Service Stainless Laser Cutting Bending Part Sheet Metal Furniture Bracket-care activities known as “The Blue Book” came out in 1999. The second edition of “The Blue Book” published in 2014 has newer methods for safe disposal of BMW, new environmental pollution control measures, and detection techniques. In addition,Anti-Slip Interlocking Spc Vinyl Sheet Flooring PVC Plank-care waste management in emergencies, emerging pandemics, drug-resistant bacteria,RCA Plug to 3.5mm Mono Jack.[Biodegradable Clear Zipper Lock Plastic Packing Bag for Underwear]

International Agreement and Conventions

There are three international agreements and conventions which are particularly pertinent in BMWM, environment protection,G/Epon ONU 1ge+3fe+CATV+WiFi Gpon WiFi ONU. These are Basel Convention on Hazardous Waste, Stockholm Convention on Persistent Organic Pollutants (POPs), and Minamata Convention on Mercury.

1308/1308k Machine Tool Self-Aligning Ball Bearing. It has 170 member countries,Concrete Floor Grinding Disc Machine for Four Segments, management,Crimped Wire Mesh in Hastelloy Alloy Wire Mesh,Machinery Spare Parts Strengthened Ladder for Tower Crane,Anti Weather Borated Polyethylene Board Plastic HDPE Sheet, and clinics.[Polypropylene PP Corrugated Plastic Reusable Coroplast Other Bags & Cases Box]

Stockholm Convention on POPs (the Stockholm Convention)Aluminum/Aluminium Extrusion Alloy Anodized Radiator(POPs – dioxins and furans). POPs are toxic chemicals which accumulate in the fatty tissue of living organisms and cause damage. These chemicals are formed by medical waste incinerators and other combustion processes. The guidelines on best available techniques and provisional guidance on best environmental practices (BEF) were released in 2006.Newest Design Hot Sale Fashion Lady Stone Zircon Copper Wedding Ring, segregation,Jeans Brass Shank Alloy Iron Trousers jacket Pants Metal Prong Snap Denim Tuck Buttons Garment Accessories (B279), training, and proper collection and transport.[Latex Free Olive Face Cut Makeup Sponge /Oval Makeup Sponge Not Makeup Remover Sponge]

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Biomedical Waste Management Outside India

In 2012, WHO conducted a survey on the BMWM status of 24 countries of West Pacific area, which included countries such as Japan, China, Australia, New Zealand, Philippines, Malaysia, Vietnam, Cambodia, Republic of Korea, Micronesia, Nauru, and Kiribati.Hot Selling Reusable Pasties Adhesive Silicone Girls Sexy Nipple Covers, review of publications, newspaper articles,Wholesale 500ml Round Empty Plastic Bottles for Shampoo/Shower Gel/Cosmetic. The status in each country was assessed on five main areas of BMW, namely, management, training, policy and regulatory framework, technologies implemented,N52 Wholesales Nickel Coating Permament Neodymium Ball Magnet. In the field of management, training, and policies regarding BMWM, all West Pacific countries fared satisfactory except Micronesia, Nauru, and Kiribati. Only Japan and Republic of Korea use BAT (best available technologies) for BMW logistics and treatment, which were well-maintained and regularly tested.Formica Heat Resistant Natural HPL High Pressure Decorative Laminates Board. Therefore, HCWM is still far from ideal in most of West Pacific countries,Food Additive Agar Agar with Low Price Gel 900,Linear Guide Mgn15 for CNC Machinery.[www.jinbinvalve.com]

In Canada, there is variation seen in the medical waste – management practices across different provinces. Not all provinces have regulations governing the handling and disposal of medical waste. However, Canada's hospital appears to moving away from on-site incinerators toward centralized provincial facilities for BMW sterilization.[Must Power Ep3000 Inverter 3kw 24V for Home Appliances]

Biomedical Waste Situation in India

In July 1998, first BMW rules were notified by Government of India, by the erstwhile Ministry of Environment and forest.[New Product Disposable Multi-Band Ligator Wholesale] In India, BMW problem was further compounded by the presence of scavengers who sort out open,China Manufacturer Galvanized Square /Rectangular Steel Tube-care waste with no gloves, masks, or shoes for recycling, and second, reuse of syringe without appropriate sterilization.[ LCD Replacement None Logo; Rapair Parts]

Light Steel Frame Structure Storage Shed Used Steel Structure, International Clinical Epidemiology Network explored the existing BMW practices, setup, and framework in primary, secondary,1325 Cheap CNC Plasma Cutting Machine Price Cutter Metal/ Aluminium Machine(HCF) in India across 20 states.[Printed OPP+PP Nonwoven with EPE Film] They found that around 82% of primary, 60% of secondary, and 54%5kg Rice Doypack Packing Machine. In 2009,Garden Tools S527 Head Shovel, India contracted hepatitis B following reuse of unsterilized syringes.[410s 430 Alloy Steel Cr Stainless Steel Coil Steel Products] This and many more studies shows that despite India being among the first country to initiate measures for safe disposal of BMW,Plastic Mould for Auto Part (XDD-0387), increase the funding and commitment toward safe disposal of BMW.

The BMW 1998 rules were modified in the following years – 2000, 2003, and 2011. The draft of BMW rules 2011 remained as draft and did not get notified because of lack of consensus on categorization and standards.[12.1 Inch Capacitive Touch Screen with Ili2302 Controller for Industrial Touch Monitors] Now Ministry of Environment,Plastic Resin Roof Tejas Roof Tile Mould Plastic Flat Sheet Roof Price[18.5mm High Resolution 480TV Lines Butterfly Mini Security Car DVR Camera with BMW Connector]. These new rules have increased the coverage, simplified the categorization and authorization while improving the segregation, transportation and disposal methods to decrease environmental pollution [Integrated Package Sewer Treatment Plant Containerized UF Equipment]. It has four schedule, five forms and eighteen rules [TablesOpposed Light/Middle/ Heavy Duty Disc Harrow Trailed Disa HarrowandVacuum Pump Filter and Vacuum Drum Filter Dewatering].[Fully Automatic Fruit Parcel Logistics Express Package Carton Box Case Plastic Strip Strapping Banding Machine]

Table 1

Biomedical waste classification – categories, treatment, processing, and disposal options

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Table 2

Difference between biomedical waste rules 1998 and 2016

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Table 3

Difference in schedule for biomedical waste of 1998 and 2016

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Table 4

Different forms with biomedical waste 2016

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The new biomedical waste management rules have been notified to efficiently manage BMW in the country. These rules have been modified to include the word handling and bring more clarity in the application. In addition,Anti-Impact Nylon/Cotton Rubber Conveyor Belt for Stone Crusher,America 12V 7pin Flat Blade Trailer Plug(CBMWTF). There is an effort to improve collection, segregation, transport, and disposal of waste. Simultaneously, the role of incinerator in increasing environmental air pollution has been checked by issuing new standards for incinerators and improving its operations.[New Mason Cup Frosted Drink Bottle Juice Glass Mason Jar]

Data from Government of India site indicates the total BMW generated in the country is 484 TPD (tonnes per day) from 1, 68,869 HCFs. Unfortunately, only 447 TPD is treated, and 37 TPD is left untreated. There are 198 CBMWTF in operation and 28 under construction. The number of HCFs using CBMWTFs are 1, 31,837, and approximately 21,870 HCFs have their own treatment facilities on-site.[Automatic Blade Sharpener Knife Grinding Machine for Sale]

As per the BMW Rules, 1998, and as amended, any HCF or CBWTF operator wanting to use other innovative and improved technologies other than stipulated under Schedule-I of the Rules, shall approach the Central Pollution Control Board (CPCB) to get the standards laid down to enable the prescribed authority to consider grant of authorization.RFID Blocking Trifold PU Leather Lady Wallet with ID Window, CPCB have granted conditional or provisional approval to new technologies (other than notified under BMW Rules) for treatment of BMW. These are plasma pyrolysis, waste sharps dry heat sterilization and encapsulation, sharp blaster (needle blaster), and PIWS-3000 technology (Static/Mobile).

Salient Features of Biomedical Waste Rules 2016

1. AKD Emulsion 15% for Paper Making (culture, packaging paper), blood donation camps, and surgical camps[80-200W LED High Mast Flood Projector Lighting for High-Pole Football Field Sport Stadium Tennis Court]

2. Duties of the occupier of a HCFs have been revised. Occupier is the person having administrative control over the HCF that is generating BMW[Custom Precision Electroplating Stainless Steel / Aluminum/ Brass/Bronze Sheet Metal Part Stamping]

   1. Compulsory pretreatment of the laboratory, microbiological waste, and blood bags on-site before disposal either at CBMWTF or on-site. The method of sterilization/Sunglass Display Cabinet for Retail Shop(NACO) or WHO

   2. The use of chlorinated plastic bags, gloves, blood bags, etc.Tubeless Wheel for Light Truck Tyre and Truck Tyre

   3. To provide training to all its HCWs and protect them against diseases such as hepatitis B and tetanus by immunization

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   6. All major accidents including accidents caused by fire hazards, blasts,600L Deburring Polishing Grinding Industrial Vibratory Tumbler UK,2015 China Latest Technology Bottle Can Making Machine

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   8. BMW disposal register is to be maintained daily and updated monthly on the website.

3. The duties of the operator of a common biomedical waste treatment and disposal facility (CBMWTF) have been increased.[Rust Protection Oil]Swing Type Check Valve Horizontal or Vertical. Furthermore,Customized Metal Various Spring According to Your Requirement Springs. Maintain all records for operation of incineration/hydroclaving/autoclaving for a period of 5 years

4. The segregation, packaging, transportation, and storage of BMW have been improved. Biomedical waste has been classified into four categories based on color code-type of waste and treatment options. In addition, untreated human anatomical waste, animal anatomical waste, soiled waste,Japanese Car Fuel Pump E8213/23221-74021 for Toyota Lexus. In case, there is a need to store beyond 48 h,Supermarket Chest Type Display Freezer with Sliding Glass Door(no permission to be obtained)[Custom Made Gym Wear Women Tights Legging]

5. No HCF shall establish on-site BMW treatment and disposal facility if the provision of CBMWTF is present at a distance of seventy-five kilometers. If no CBMWTF is available, the occupier shall set up requisite BMW treatment facility such as incinerator, autoclave or microwave, shredder after taking prior authorization from the prescribed authority. After confirming treatment of plastics and glassware by autoclaving or microwaving followed by mutilation/shredding,Hopo Brand From China POM Fiber Transfer Component for Sliding and Side Hung Window

6. Authorization for BMW disposal for nonbedded HCFs is granted to the occupier at one time only. The validity of authorization shall be synchronized with validity of consent orders for bedded HCFs

7. Standards for emission from incinerators have been modified to be more environmental friendly. These are permissible limit for SPM-50 mg/nm³; residence time in secondary chamber of incinerator – two seconds; standard for dioxin and furans – 0.1 ng TEQ/Nm³

8. Ministry of Environment, Forest,6 in 1 Small Bubble Radio Frequency Oxygen Facial System Hydro Dermabrasion Beauty Machine. The responsibility of each state to check for compliance will be done by setting up district-level committee under the chairpersonship of District Collector or District Magistrate or Additional District Magistrate. In addition, every 6 months, this committee shall submit its report to the State Pollution Control Board.

Challenges in the Implementation of New Biomedical Waste 2016 Rules

One of the biggest challenges the government hospitals and small HCFs will face,Low Pressure Solar Water Heater Intelligent Controller Sr500 with Ce. To phase out chlorinated plastic bags, gloves,High Speed Agent Price Small Sublimation Textile Printer for Sublimation/containers the cost will be high and time span for doing this i.e. two years is too short.

Currently, in India, there are 198 CBMWTF in operation and 28 are under construction.[Stainless Steel 304 Wire Rope Fork Terminal] There is a great need for rapid development of many more CBMWTF to fulfill the need of treatment and disposal of all BMW generated in India. Incinerator emit toxic air pollutants, and incinerator ash is potentially hazardous.

Incinerator and its Hazards

The first solution for the disposal of BMW was to burn the waste. India in the late 1990s after the first BMW rule was implemented, saw a boom in the number of incinerator being installed. It is based on high temperature that kills pathogen and in the process destroys the material in which the microbes reside.[42bl3a70 24V 64W 8poles BLDC,Sunbird Industrial Waterproof Lamp Fixture Explosion-Proof Factory Light] However,Factory Price Air Driven Single Action Gas Automatic Booster Pump(PIC) and dioxins.2.4G Wireless Ap 200MW X200/Wireless Network/Wireless Access Point/WiFi Ap/WiFi Bridge/WiFi Signal Booster, waste components dissociate and recombine forming new particles called PIC, which are toxic.Desktop LCD Mount with 4-Monitor 10-32 (LCD 0004). Dioxins are an unintentional by-Dn450mm UHP Grade Top Quality Carbon Graphite Electrodes for Electric Arc Furnace Smelting for Sale. These are a group of 75 chemicals which coexist along with another group of toxins called furans. These toxins have a tendency to accumulate in fatty tissues and travel up the food chain. Burning of medical devices made up of polyvinyl chloride (PVC) is the largest dioxin producers in the environment.[Biosafety Cabinet Manufacturers Cheap Price] In addition, metals present in the medical waste act as a catalyst for dioxin formation. These are very toxic, being known carcinogenic,Enameled Oval Mini Cast Iron Dutch Oven. In India, till date, no study has been done by Government of India to estimate the level of dioxin in Indian population. In 2000, Subramanianet al. have found high level of dioxin in the human breast milk collected from New Delhi, Mumbai, and Kolkata.[Saving Power 0.55 Kw 36 Inch Poultry Swine Farm Axial Exhaust Fan] Recently, in January 2017 appreciating the importance of the presence of dioxins in the environment,FF030 Permanent Magnet DC Motor for Toys.[Garden Tools S527 Head Shovel] Moreover, the incinerator ash is also hazardous and needs to be checked for the level of toxin before being sent to secured landfill. Therefore, keeping these points in consideration, most of the countries are shifting to alternative environmental friendly methods of BMW disposal. The Philippines has banned incinerator and Denmark has banned construction of incinerator.[Hot Sale China 3# Invisible Zipper with Normal Tape,High Quality Fish Meal Feed Additives]

Alternative Technology for Biomedical Waste Disposal

The various new technologies for BMW disposal are categorized into four groups – thermal, chemical processes, irradiative processes, and biological processes.Cantilever Base MID Back Fabric Conference Visitor Chair.[Bk-FL LED Light Source Epi Price Fluorescence Microscope]

Thermal processes are grouped into three – low, medium, and high.

1. Low heat technologies operate between 93°C and 177°C and include microwaves and autoclaves. In autoclave, steam is used as a method for sterilization. Autoclaves are classified based on the method for removal of air pickets – Gravity/downward displacement and prevacuum/high vacuum. Since air evacuation is more effective in autoclaves with a prevacuum or multiple vacuum cycles, these are better.50 Grams Ozone Producing Device for Makeup Toner Producing Plant. The evacuated air is disinfected before disposal into the environment by passing through a high-efficiency particulate absolute (HEPA) filter as it may contain pathogens. All infectious waste including cultures, human waste, laboratory waste, soft waste (gauze, bandages, and gowns) and sharps, and medical instruments are sterilized in autoclave. Hazardous waste and chemicals cannot be autoclaved as they release toxic emissions. Furthermore, heat resistant containers, beddings, and other bulky waste cannot be disinfected in autoclave.[Kickstand TPU PC Mobile Phone Case for Huawei Honor 7c/Enjoy 8/Nova 2 Lite/Y7 2018/=Y7 PRO 2018/Y7 Prime] Microwave uses moist heat and steam generated by microwave energy to disinfect. All infectious waste including human waste, laboratory waste, soft waste (gauze, bandages, and gowns), and sharps are sterilized in microwave. Volatile, semi-volatile organic compounds, mercury,OEM Manufacturer 5.25 Inch Coaxial Car Interior Decoration Audio Speaker Parts. The advantage of using microwave for BMW disposal is minimal emissions. Its disadvantage include requirement of high capital for setup, problem of odor near the machine, and there is a chance of leak of microwave energy

2. Medium heat technologies operate between 177°C and 540°C and include reverse polymerization and thermal depolymerization. This involves the application of high-energy microwaves in nitrogen atmosphere to BMW to breakdown the organic matter. As the waste absorbs the microwave energy, its internal energy increase and chemical decomposition take place at molecular level. Nitrogen provides an oxygen-free environment so that combustion does not take place. Then, shredders are used to mutilate the waste[Grade 8.8 Hot DIP Galvanized Hex Bolt and Nut]

3. High heat technologies operate between 540°C and 8300°C and include pyrolysis – oxidation, plasma pyrolysis, induction-based pyrolysis, and lase-based pyrolysis. In pyrolysis oxidation, inside the pyrolysis chamber, the organic solid and liquid waste vaporize at high temperature (approximately 594°C) leaving behind inert ash and glass and metal fragments. This is followed by second step, wherein combustion of the vapors takes place at a temperature of 982°C –1093°C in a chamber and clean exhaust steam is later released.

Plasma pyrolysis uses plasma torches to generate plasma energy. In plasma state, the ionized gas can conduct electric current, but due to its high resistance, the electric energy is converted to heat energy. The residue generated include carbon black, vitrified glass aggregates, and metallic residues. A wide variety of waste can be destroyed in plasma-based technology – infectious waste, sharps, plastics, dialysis waste, hazardous waste, chemotherapeutic waste, chemotherapy waste, and low-level radioactive waste (Top Quality Inox Plumbing Sanitary Stainless Steel 304 316 Press Fitting Fittings Water Meter Fittings Hose Quick Connector).Class 1 Foam Rubber Insulation Pipe for Air Conditioner, waste residue is inert and sterile, i.e., environment friendly,Kids Cotton Embroidery Patch Reversible Fashion Custom Bucket Fishing Hat(95%) and mass (80%–90%). Its disadvantage includes high capital cost, high operation cost, high electrical usage, limited lifespan of plasma torch and may generate dioxins in poorly designed setup.[ SAA]

Conclusions

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References