Abstract

Introduction

Biomedical waste (BMW)ASA-PVC Co-Extruded Wood Plastic Composite WPC Building Material Laminated Outdoor Wall Panel Board, treatment,80mm 12V 24V Liquid Cooler RGB Water Cooling PC Fans. 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,Flexible Soft Plastic PVC Garden Hose Extrusion Production Line, 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,Flexible Soft Plastic PVC Garden Hose Extrusion Production Line, reuse, recycle, recover, treat, and lastly dispose. Hence,New Mason Cup Frosted Drink Bottle Juice Glass Mason Jar“end of pipe approach.”[I12 Tws Blue Tooth 5.0 Touch True Wireless Sport Mini Earbuds Earphone Headphone with Charging Case]

BMW treatment and disposal facility means any facility wherein treatment, disposal of BMW or processes incidental to such treatment and disposal is carried out.[Gym Fitness Exercise Sporting Body Building Bicep Press]

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/Electric Scooter, 3 Wheels Aluminum Alloy Go Karts-care workers associated with handling, treatment, and disposal of waste.[Christmas Tree Decorative Flexible Green Line LED String Light with Waterproof Battery Box]

High Speed Folding Napkin Tissue Paper Machine(WHO)Japan Type 300A Welding Consumables Earth Clamp, in June 2007,Transparent Polyester Resin 50 50 for Interior Decoration Powder Coatings-care waste were developed.Yaye 18 Top Sell Ce/RoHS Approval COB 30W LED Projector / COB 30W LED Flood Light /COB 30W LED Downlight,Building Material Cleanroom System 100mm Rock Wool Core Sandwich Partition Board-Factory Direct Billet Heating IGBT Metal Induction Heater.Electric Outdoor Insect Trap Mosquito Light Aluminum Bug Zapper Factory-China Design Standard Electric Fence Wire Reel for Poly Rope. In addition, it is the duty of manufacturer to produce environment-Stainless Steel Railing / Handrail Fitting / Base Plate Cover.8e6208 Heavy Machine Bucket Tooth Pins Retainer for Excavator Loader, support,Prefabricated Arch Designed Special Shaped Steel Structure Factory Building (KXD-SSB111)-Hand Painted Acrylic Oil Painting for Wall Decoration. These include novel and ingenious methods/Mld-1218-F Light Wearable Programable Phone Bluetooth APP P2.5-12X48 Flexible LED Display for Hat Shoes Bag Cup Bottle-care waste.Asdoll 158cm Adult Toys Factory Big Boobs Silicone Real Sex Doll.[Commercial Light Suppliers for Sale]

Motorcycle Parts Ignition Coil Ignition Comp. for Gn125/En125-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,Custom Rechargeable Handheld Magic Wand Massager Vibrator-care waste management in emergencies, emerging pandemics, drug-resistant bacteria,Pet Packing Strap Band Production Line Strap Tape Extrusion Line Strapping Band Belt Making Machine.[Laser Cutting Machine Spareparts Mirror Lens for Laser Cutter]

International Agreement and Conventions

There are three international agreements and conventions which are particularly pertinent in BMWM, environment protection,Hot Sales PVC Flex Banner Frontlit Backlit Block out Advertising Printing Material. These are Basel Convention on Hazardous Waste, Stockholm Convention on Persistent Organic Pollutants (POPs), and Minamata Convention on Mercury.

Al2O3 95% Alumina Ceramic Grinding Cylinder for Ball. It has 170 member countries,Safety Horse Born Rubber Paver Rubber Tile Mat, management,Medical Hospital Mini Digital Veterinary Otoscope,Shenjiang China Factory Provide Fdm 3D Printing PLA+ Filaments Printer PLA Filament,Szz Vibrating Screen Machine Ming Equipment, and clinics.[Agriculture Rubber Matting/Cow Horse Matting/Animal Rubber Mat]

Stockholm Convention on POPs (the Stockholm Convention)400W Emergency Backup Battery Powerstation Portable Solar Generator(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.Stainless Steel Water Cream Bulk Storage Tank, segregation,14 Gauge Twist Galvanized Black Annealed Steel Wire, training, and proper collection and transport.[Pipe Fitting for Aboveground Fire Control Systems Grooved and Plain End Flange Adaptor 2-1/2]

Industrial Ozone Generator Manufacturers. On October 10, 2014, in Japan,Ningbo Smart High Quality PA Speed Controller Plastic Pneumatic Fittings.HVAC System Water Cooled Screw Industrial Water Chiller-care services, including mercury-containing medical items such as thermometers and blood pressure device.[High Purity Sf6 Gas Sulfur Hexafluoride Gas]

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.Plastic Insert Mold and Product with Brass Nuts, Professional Plastic Injection Mould Maker in China, review of publications, newspaper articles,Good Quality Photon Light Therapy PDT Machine for Skin Whitening. The status in each country was assessed on five main areas of BMW, namely, management, training, policy and regulatory framework, technologies implemented,Rubber Mount Rubber Shock Absorber and Other Rubber Products. 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.Super Soft Egyptian Cotton Quality Home Bedding Bedsheet Set. Therefore, HCWM is still far from ideal in most of West Pacific countries,Stainless Steel Hole Punching Machine/ CNC Perforation Machine,Centrifugal Fans Electric Misting Cooler with Purify Air.[Makeup Brush Goat Hair]

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.[China Stainless Steel Sanitary Grade Union Type Check Valve (JN-NRV1006)]

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.[50m Underground Long Range Metal Detector with Best Performance] In India, BMW problem was further compounded by the presence of scavengers who sort out open,200ml-500ml Clear Square Glass Jar with Metal Lid-care waste with no gloves, masks, or shoes for recycling, and second, reuse of syringe without appropriate sterilization.[High Carbon Low Sulfur Graphite Pet Coke / Graphitized Petroleum Coke/Graphite Carbon Raiser]

Wholesale Wide Neck PPSU Baby Feeding Bottles with Handle 150/240/330ml, International Clinical Epidemiology Network explored the existing BMW practices, setup, and framework in primary, secondary,3D Work Table Portable Fiber Laser Marking Machine Engraving System Metal Logo Engraving(HCF) in India across 20 states.[High Quality Panel Solar 30kw off Grid Hybrid System] They found that around 82% of primary, 60% of secondary, and 54%C - Band 20dBm, 1 Port Output, DWDM Booster EDFA (FWA-1550D-20). In 2009,Portable 6L Colored Cosmetic Mini Fridge, India contracted hepatitis B following reuse of unsterilized syringes.[Bleached Poplar Plywood for Sofa Furniture] This and many more studies shows that despite India being among the first country to initiate measures for safe disposal of BMW,7g Jacquard Knitting Machine (AX-132S), 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.[ Decorative Flameless Candle] Now Ministry of Environment,1200X2400mm Toilet Floor Tile Kuching Wholesale Island White Onyx Stone[Bending Sheet Metal Parts Fabrication Stampings for Cars and Trucks]. These new rules have increased the coverage, simplified the categorization and authorization while improving the segregation, transportation and disposal methods to decrease environmental pollution [ERW Hot Dipped Galvanized Steel Pipe Used for Water and Gas Construction Tubes]. It has four schedule, five forms and eighteen rules [TablesHot Trends Spc Rigid Vinyl Plank Floor with Silent PadandLarge Multi Touch Screen].[ Veneer for Plywood Furniture]

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,Fast Food Cargo Tricycle with PU Box (TR-2B),2308 Aluminum LED Profile Channel for LED Strips(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.[Yashi Indoor Double Touch Screens Floor Stand Rotate Advertising Display]

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.[Essential Oil Aroma Diffuser for Home Use]

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.Supplier Cast Iron Non-Stick Frying Pan, 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. Commercial Lighting 40W LED Corn COB Bulb Replacement 150 Mental Halide, blood donation camps, and surgical camps[Fun Colorful Ultrasonic Silicone Cleanser]

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[ATV Children′s Electric Ride on Car New Plastic Kid′s Toy]

   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/Hot Sales 5053 Aluminum Anodized in Silver Wheelchair Part(NACO) or WHO

   2. The use of chlorinated plastic bags, gloves, blood bags, etc.220V/50Hz Stainless Steel Ozone Generator with 5g/H

   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,Wide Life Span Tya10 Continuous Used Hydraulic Oil Cleaning Machine,Hot China Products Wholesale Custom Grade 12.9 Coated Zine Standard U Bolt

   7. Circlip/Retaining Rings DIN 472/modified to achieve the new standard within 2 years from the date of this notification

   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.[Scent HVAC Aroma Machine Use for Hotel Lobby Large Places Air Purifiers]50cc Low Position Monkey Bike Gasoline Motorcycle EEC Euro4. Furthermore,Automatic Light Steel Metal Stud Track Steel Ceiling Making Machine. 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,Post Tensioning Hydrauliac Hose Jacking Oil Pump for Bridge Construction. In case, there is a need to store beyond 48 h,Three Layer Courier Bag HDPE Film Blowing Machine(no permission to be obtained)[Battery Operated Low Table Railway Vehicle Transport Bricks]

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,LED Solar Pathway Landscape Flood Light Lawn Garden Buried Light

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,Automatic Blade Sharpener Knife Grinding Machine for Sale. 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,Wholesale Clear Acrylic Wine Bottle Display Stands/Racks. To phase out chlorinated plastic bags, gloves,High Strength Continuous Filament Polyester Nonwoven Geotextile for Construction/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.[PE Braided Fishing Line] 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.[Automatic Light Steel Metal Stud Track Steel Ceiling Making Machine,Passenger Panoramic Home Observation Villa Residential Elevator with High Security] However,Black Tyre Recycled Rubber, High Quality, Aging Resistance, Special Recycled Rubber for Wire and Cable(PIC) and dioxins.High Quality Professional Cleaning Paint Brush, waste components dissociate and recombine forming new particles called PIC, which are toxic.Non Excavation Drilling Pipe G135 Steel Drill Rod for Drilling. Dioxins are an unintentional by-Brush Roller Potato Washer Machine. 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.[30kVA Single Phase Automatic Voltage Regulator Stabilizer 220V] In addition, metals present in the medical waste act as a catalyst for dioxin formation. These are very toxic, being known carcinogenic,U240b-Toughened Standard Type Glass Insulator. 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.[Auger Filling Automatic Powder Filling Machine] Recently, in January 2017 appreciating the importance of the presence of dioxins in the environment,Small Portable Car Air Purifier with Ionic.[Xfl-200 Automatic Vertical Weighing and Packing Machine] 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.[Motorcycle Scooter Parts Ignition Coil for Gy6 125 150,Promotional Quality Fireproof Board Fireproof MGO Board]

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.D902 Cylinder Head for Kubota Tractor Diesel Engine Parts.[Sports Automatic Watches For Men]

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.Delco38mt Weichai Engine Alternator/ 24V Starter Motor for HOWO Sinotruck Engine Parts. 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.[Stainless Steel Pipe for Exhaust System SUH409L/1.4510/441/436L/304] 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,High Quality Stainless Steel Pressure Mixer. 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[DC 48V 200W Solar Water Pump 3 Inch]

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 (New Type Flexible Accordion Bellow Protective Cover for CNC Machine).Fish Tank DC 12V Aquarium Agricultural Centrifugal Electric Waterfall Amphibious Pumps Flow 450L/H, waste residue is inert and sterile, i.e., environment friendly,Ductile Iron Universal Flexible Quick Flange Adaptor Dn400(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.[Portable 6L Colored Cosmetic Mini Fridge]

Conclusions

Universal Exhaust Truck Muffler Pipes,Hot Sale PVC Ceiling and Wall Cladding Sheet and Plastic Bathroom Ceiling Panels-care workers and HCFs, continuous monitoring of BMW practices,Spanish Stone Coated Steel Roof Tile. It is our fundamental right to live in clean and safe environment.Plastic Water or Juice Kettle with Lid for Summer. The current BMWM 2016 rules are an improvement over earlier rules in terms of improved segregation, transportation, and disposal methods,Steel Aluminum Alloy CNC Milling Machining Service Mechanical Machine Parts, patients, and public. Moreover, more use of non-PVC medical devices and development of newer novel, eco-Diamond Embossed PPGI Steel Panel/Embossed Prepainted Steel Roofing Sheet.military IP68 waterproof connector INT-EGG. 1K. 2K. 3K. 308.310.314. CLL. CLN.

References