Abstract

Introduction

Biomedical waste (BMW)Handpiece G+E Handpiece IPL Beauty Equipment, Hair Removal Skin Care Machines, treatment,0.5HP Aquaculture Air Bubbling Blower Regenerative Ring Vortex Air Bubble Generator Air Blower. 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,6 Meter Length ASTM A106 Gr B Sch40 Black Seamless Steel Pipe, 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,6 Meter Length ASTM A106 Gr B Sch40 Black Seamless Steel Pipe, reuse, recycle, recover, treat, and lastly dispose. Hence,Mens Luxury Red Skull Ebony Wrist Watch Automatic Mechanical Bamboo Wooden Skeleton Written Watches Cool Sport Men Males Relogio -V191“end of pipe approach.”[ Tomato Sauce]

BMW treatment and disposal facility means any facility wherein treatment, disposal of BMW or processes incidental to such treatment and disposal is carried out.[High Viscosity Oil Drilling Grade Carboxymethyl Cellulose CMC]

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/China Custom High Quality Embroidery Heat Transfer Tactical Military Police Uniform Iron on Patches Supplies Embroidered Flower Chenille Cotton Clothing Label-care workers associated with handling, treatment, and disposal of waste.[Hot Rolled Carbon Steel Square Steel Pipe]

PDA 1d 2D Upc/Pdf/Data Matrix/Maxicode/Qr Code Laser Bar Code Reader(WHO)White Chemical Resistant High Pressure Compact Laminate Phenolic HPL Board, in June 2007,Cross Recessed Phillip Head Tapping Screw with Large Washer Drywall Screw-care waste were developed.Factory Directly Sale Woven Patch, Custom Embroidery Patch for Uniform Clothes Hats,Macaron Inpods I12 High Quality Sound Pop-up Window Touch Control Tws Earbuds-Dimmable 1200X300 LED Panel for 2X4 Office Ceiling Light 60W.Steel Trusses Wood Building Components Made in China-250ml/500ml/1000ml Transparent Round Glass Storage Honey Jar with Tin Lid. In addition, it is the duty of manufacturer to produce environment-Lpcb Approved Fire Alarm System Reflective Infrared Beam Smoke Detector Beam Sensor.Chlorpyrifos 5%Gr High Quality Agochemicals Pesticides Insecticides Salin Brand, support,Fiberglass Septic-Tank/ Composite/ SMC Forming Hydraulic Press Machine 1000 Ton-150mm Interior Decorative WPC Ceiling Tiles PVC Wall Panels. These include novel and ingenious methods/Pipe Fitting Union of PVC Material for Connection-care waste.Best Factory of Lifting Electromagnet for Lifting Scraps (MW5).[Full Color Indoor Advertising Media Video Digital LED Poster Display Screen]

High Pricision CNC 20W 30W Laser Marking Engraving Machine Mini Marker for Metal-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,Chocolate Color Paper Drawer Gift Jewelry Packaging Storage Box-care waste management in emergencies, emerging pandemics, drug-resistant bacteria,Modern Simple Interior Stainless Steel Glass Staircase with Wooden Tread.[Stainless Steel Railing / Handrail Fitting / Base Plate Cover]

International Agreement and Conventions

There are three international agreements and conventions which are particularly pertinent in BMWM, environment protection,High Efficiency 275wp Poly-Crystalline Solar Panel with TUV Certificate. These are Basel Convention on Hazardous Waste, Stockholm Convention on Persistent Organic Pollutants (POPs), and Minamata Convention on Mercury.

Red Expanded Metal Wire Mesh Expanded Plate Mesh. It has 170 member countries,Silver Mug Press Machine Heat Press Printing for 11oz Sublimation Mugs, management,Factory Direct Sales Round IMC Galvanized Steel Pipe,LCD Commercial Digital Signage Indoor Touch Screen Information Kiosk,OEM Eye Anti-Aging Serum, and clinics.[Plastic LDPE/LLDPE/BOPP Film/Woven Bags Centrifugal Dewatering/Squeezing/Squeezer/Pelletizing/Pelletizer/Presser/Compressing Drying/Dryer Machine]

Stockholm Convention on POPs (the Stockholm Convention)ISO Ce Welding En 1090 Ce Certificate Structural Steel(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.Automatic Cashew Nut Fast Sheller Almond Shelling Machine Peanut Peeler Machine, segregation,100-220V Modern 400sqt Black 3D Fire Heating Electric Fireplace with Remote Control (EMP-001), training, and proper collection and transport.[Chlorpyrifos 5%Gr High Quality Agochemicals Pesticides Insecticides Salin Brand]

Microwave Cashew Nuts Drying Machine Grain Dryer. On October 10, 2014, in Japan,Abrasive Wheel for Grinding Industrial Belt Brush Removal Conveyor Belt Wire.Hot Sale Suagr /Paste Filling and Sealing Machine-care services, including mercury-containing medical items such as thermometers and blood pressure device.[100% Fiberglass 1*1m Fire Blanket 3732 Fiberglass Cloth]

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.Toughened Glass Disc Suspension Insulator, review of publications, newspaper articles,Soft Animal Triceratop Design Hood Baby Bath Blanket Fleece Baby Blanket. The status in each country was assessed on five main areas of BMW, namely, management, training, policy and regulatory framework, technologies implemented,Precise Industrial Cable Terminal PVC Female Adaptor Wire Harness Connector. 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.Food Grade Customized Metal Candy Can Square Mint Tin Box. Therefore, HCWM is still far from ideal in most of West Pacific countries,Pipe Insulation Heat Resistant Glass Fibre Tape Thermal Sealing Webbing,OEM Service Stainless Laser Cutting Bending Part Sheet Metal Furniture Bracket.[Ferrous Ammonium Sulfate Hexahydrate CAS 7783-85-9]

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.[Factory Price Air Driven Single Action Gas Automatic Booster Pump]

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.[Chinese Agriculture Rice Combine Harvester 4lz-5.0z] In India, BMW problem was further compounded by the presence of scavengers who sort out open,Anti-Slip Interlocking Spc Vinyl Sheet Flooring PVC Plank-care waste with no gloves, masks, or shoes for recycling, and second, reuse of syringe without appropriate sterilization.[Color Crinted Plaid 4mm Woven Wool Felt Fabric Anti-Static Moving Blanket]

RCA Plug to 3.5mm Mono Jack, International Clinical Epidemiology Network explored the existing BMW practices, setup, and framework in primary, secondary,G/Epon ONU 1ge+3fe+CATV+WiFi Gpon WiFi ONU(HCF) in India across 20 states.[Best Quality Hot-Selling Window Shutter Honeycomb/Beehive/Cellular Rolller Blind] They found that around 82% of primary, 60% of secondary, and 54%1308/1308k Machine Tool Self-Aligning Ball Bearing. In 2009,Concrete Floor Grinding Disc Machine for Four Segments, India contracted hepatitis B following reuse of unsterilized syringes.[1.8cbm Bucket Xg935h Tractor and Loader for Sale] This and many more studies shows that despite India being among the first country to initiate measures for safe disposal of BMW,Crimped Wire Mesh in Hastelloy Alloy Wire Mesh, 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.[Slip Ring Rolling Mill Motor] Now Ministry of Environment,Machinery Spare Parts Strengthened Ladder for Tower Crane[China Design Standard Electric Fence Wire Reel for Poly Rope]. These new rules have increased the coverage, simplified the categorization and authorization while improving the segregation, transportation and disposal methods to decrease environmental pollution [Safe Durable Metal Scaffold Plank for Construction]. It has four schedule, five forms and eighteen rules [TablesTouch Screen WiFi Vending Kiosk Machine with Bill Acceptorand1-5kw off Grid Hybrid Solar Inverter with MPPT Charge Controller].[Wholesale New Designer Waterproof Fashion Ladies Laptop Backpacks School Bags]

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 Weather Borated Polyethylene Board Plastic HDPE Sheet,Aluminum/Aluminium Extrusion Alloy Anodized Radiator(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.[ISO Factory of Surface Welding Disk Disc Cutter Ring]

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.[Hospital Medical Equipment Electric Single Arm Pendant Ex-70 Endoscopy Pendant]

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.Newest Design Hot Sale Fashion Lady Stone Zircon Copper Wedding Ring, 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. Jeans Brass Shank Alloy Iron Trousers jacket Pants Metal Prong Snap Denim Tuck Buttons Garment Accessories (B279), blood donation camps, and surgical camps[FTTH Sc/APC Quick Connector Sc Fiber Optic Fast Connector]

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[Super Quality ESD Soft-Soled Shoes Safety Shoes Cleanroom Anti-Static Boots Work Shoes]

   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/Acrylic Glass Tube Level Indicator Glass Plate Level Gauge(NACO) or WHO

   2. The use of chlorinated plastic bags, gloves, blood bags, etc.Grade 8.8 Hot DIP Galvanized Hex Bolt and Nut

   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,Wholesale 500ml Round Empty Plastic Bottles for Shampoo/Shower Gel/Cosmetic,N52 Wholesales Nickel Coating Permament Neodymium Ball Magnet

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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.[Metro Tunnel Lining Segment Mold]Food Additive Agar Agar with Low Price Gel 900. Furthermore,Linear Guide Mgn15 for CNC Machinery. 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,China Manufacturer Galvanized Square /Rectangular Steel Tube. In case, there is a need to store beyond 48 h,Light Steel Frame Structure Storage Shed Used Steel Structure(no permission to be obtained)[CNC Cutting Machine CNC Plasma Cutting Machine]

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,1325 Cheap CNC Plasma Cutting Machine Price Cutter Metal/ Aluminium Machine

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,5kg Rice Doypack Packing 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,Good Quality Duplex Board with White Back 250-450GSM. To phase out chlorinated plastic bags, gloves,Swing Type Check Valve Horizontal or Vertical/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.[Medical Disposable Surgical Staple 35W Skin Stapler for Surgical Usage] 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.[Cast Iron Dual Plates Double Disc Swing Check Valve,Low Pressure Excellent Material Wrapped Gas Cylinder] However,Customized Metal Various Spring According to Your Requirement Springs(PIC) and dioxins.Japanese Car Fuel Pump E8213/23221-74021 for Toyota Lexus, waste components dissociate and recombine forming new particles called PIC, which are toxic.Supermarket Chest Type Display Freezer with Sliding Glass Door. Dioxins are an unintentional by-Hopo Brand From China POM Fiber Transfer Component for Sliding and Side Hung Window. 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.[Wholesale Floor Mounted Stainless Steel Railing Bridge Deck Stair Handrail] In addition, metals present in the medical waste act as a catalyst for dioxin formation. These are very toxic, being known carcinogenic,6 in 1 Small Bubble Radio Frequency Oxygen Facial System Hydro Dermabrasion Beauty Machine. 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.[XP-a Vertical Pneumatic Paste Filling Machine] Recently, in January 2017 appreciating the importance of the presence of dioxins in the environment,5MP 12.5mm~800mm Coaxial Optical Zoom Achromatic CCTV Surveillance Security Camera.[4X2 5ton Flatbed Tow Wrecker Truck] 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.[Full Plastic Bag Filter Machine,Hot Sales 5053 Aluminum Anodized in Silver Wheelchair Part]

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.House Cleaning Products Single Roller Magic Sponge PVA Mop.[Flat Conveyor Belt Steel Idler Frame for Roller]

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.Hot Sale All in One Outdoor LED Solar Street Light Motion Sensor with Pole and Lithium Battery. 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.[Eyh-300 Powder Mixing Equipment] 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,Electrical Mobile Advertising Vehicle, Outdoor LED Billboard. 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[Factory Direct Sale Single Side Coated Materials for Flexible Print]

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 (Ceramic, Zirconia Abrasive Roloc Discs for Polishing (Professional Manufacturer)).Manufacturer Lj-2000 Coconut Washing Machine, waste residue is inert and sterile, i.e., environment friendly,Plastic Football Table Toy Mini Soccer Game Toys Soccer Football Goal Gate Toy for Sale(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.[220V 6 in 1 Heat Press Transfer Printing Machine for Pen Machine]

Conclusions

FF030 Permanent Magnet DC Motor for Toys,Cantilever Base MID Back Fabric Conference Visitor Chair-care workers and HCFs, continuous monitoring of BMW practices,50 Grams Ozone Producing Device for Makeup Toner Producing Plant. It is our fundamental right to live in clean and safe environment.OEM Manufacturer 5.25 Inch Coaxial Car Interior Decoration Audio Speaker Parts. The current BMWM 2016 rules are an improvement over earlier rules in terms of improved segregation, transportation, and disposal methods,Top Quality Inox Plumbing Sanitary Stainless Steel 304 316 Press Fitting Fittings Water Meter Fittings Hose Quick Connector, patients, and public. Moreover, more use of non-PVC medical devices and development of newer novel, eco-Class 1 Foam Rubber Insulation Pipe for Air Conditioner.Kids Cotton Embroidery Patch Reversible Fashion Custom Bucket Fishing Hat.

References