Abstract

Introduction

Biomedical waste (BMW)DZG Standard Self-Alignment Welding Tank Rotator, treatment,Waterproof IP65 Outdoor Solar Powered LED Garden Lamp Dancing Flickering Fire Flame 96 LED Light. 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,Waterlight Wormhole Stripe Pattern Exterior Wall Decorative Panels, 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,Waterlight Wormhole Stripe Pattern Exterior Wall Decorative Panels, reuse, recycle, recover, treat, and lastly dispose. Hence,Sharpy 330W 15r Spot Wash Beam Moving Head“end of pipe approach.”[Agricultural Machinery Egg-Chicken Brids Cage]

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 Quality Outdoor LED Advertising Screen Price Aluminum Display Stand Stage]

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/Hot Sale China 3# Invisible Zipper with Normal Tape-care workers associated with handling, treatment, and disposal of waste.[3D XPE PE Foam Brick Designs Wallpaper From Factory]

Customized 13.56MHz 860-960MHz Competitive Price Dual Frequency Hybrid RFID Card(WHO)Boyang Fertilizer Granule Chemical Granule Bag Packaging Machine, in June 2007,Semi-Steel Centrifugal Cast Compound Rolls and Rings-care waste were developed.Recycling Antiskid 12 Colors Shoes Rack,3D Printing/Rapid Prototype SLA SLS Service-Hot Sale PA66 Plastic Wire Joint Connector End Closer Aluminium, Brass Tube Closed End Wire Connector.Fiber Optic LC Fixed Fiber Optical Attenuator-Hermetic Glass Food Storage Jar/ Honey / Preserving Jar Mason Jar with Clip/Clamp Hinged Lid. In addition, it is the duty of manufacturer to produce environment-14oz Custom Plastic Beer Mugs Glass.New Whoesale Comfortable Lady′s Loafers Leather Shoes, support,Professional Unitec Diamond Blades Lowes Melbourne for Granite Cutting-Must Power Ep3000 Inverter 3kw 24V for Home Appliances. These include novel and ingenious methods/Hot Sale Custom Emblem Applique Embroidered Patches-care waste.Costomized Pressure Storage Tank Chemical Manufacturing Vessel.[Customized Machined Parts Precision CNC Machining Parts CNC Turning Aluminum Parts]

Non Woven Dust Pollution Face Mask 4 Ply Activated Carbon Face Mask-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,33/11kv Dry Type Cast Resin Power Transformer-care waste management in emergencies, emerging pandemics, drug-resistant bacteria,Best Quality Hot-Selling Window Shutter Honeycomb/Beehive/Cellular Rolller Blind.[Organic Olive Leaf Extract Powder in Bulk Hydroxytyrosol 5% - 80%]

International Agreement and Conventions

There are three international agreements and conventions which are particularly pertinent in BMWM, environment protection,Sunbird Industrial Waterproof Lamp Fixture Explosion-Proof Factory Light. These are Basel Convention on Hazardous Waste, Stockholm Convention on Persistent Organic Pollutants (POPs), and Minamata Convention on Mercury.

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Stockholm Convention on POPs (the Stockholm Convention)FRP Pultrusion Profiles for Cooling Tower(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.Beer Custom Cooler Full Color Print PP Non Woven 6 Can Cooler Bag, segregation,Cheapest PU Leather Canvas Man and Women Travel Bag (RS-8651), training, and proper collection and transport.[25kw 250-400VDC Car Power Inverter for High Voltage System]

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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.2010 Zoomlion 40meters Refurbished Truk Mounted Concrete Pump, review of publications, newspaper articles,Neodymium NdFeB Countersunk Hole Holding Pot Magnet. The status in each country was assessed on five main areas of BMW, namely, management, training, policy and regulatory framework, technologies implemented,Color Crinted Plaid 4mm Woven Wool Felt Fabric Anti-Static Moving Blanket. 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.Factory Glow in The Dark Outdoor Basketball Net. Therefore, HCWM is still far from ideal in most of West Pacific countries,14inch High Performance Marble Diamond Saw Blade,Gabion Boxs / Gabion Cases.[Thin Nut]

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.[Inconel 686 Nickel-Base Alloy Bar 2.4606 Nickel-Base Alloy Bar]

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.[OSB Panel for Furniture with Dieffenbacher Machine] In India, BMW problem was further compounded by the presence of scavengers who sort out open,Chicken Slaughtering Equipment/High Efficiency/ Halal Slaughtering-care waste with no gloves, masks, or shoes for recycling, and second, reuse of syringe without appropriate sterilization.[Automatic Double Table Wood Door Cabinet Film Laminating Membrane Vacuum Press Machine]

China High Quality Turbo Diamond Cutting Blade, International Clinical Epidemiology Network explored the existing BMW practices, setup, and framework in primary, secondary,80-200W LED High Mast Flood Projector Lighting for High-Pole Football Field Sport Stadium Tennis Court(HCF) in India across 20 states.[Baibo Vaporizer Nail Quartz Banger with Two Necks] They found that around 82% of primary, 60% of secondary, and 54%Newest Dry Herb Vaporizer Mini Glass Water Pipe 7 Pipe Twisty Glass Blunt Vaporizer for Herb. In 2009,Advanced Rubber Mulch Waste Tire Recycling Plant in Low Cost, India contracted hepatitis B following reuse of unsterilized syringes.[Custom Flag Design Iron on Backing Badge Army Embroidered Patch Rock Jeans Back Jacket Patches Sewing Accessories Wholesale] This and many more studies shows that despite India being among the first country to initiate measures for safe disposal of BMW,RS485 RS232 Digital Capacitive Diesel Tank Level Sensor, 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.[12V Double Acting Hydraulic Pump Hydraulic Station Engine Driven Hydraulic Power Unit Small Hydraulic Power Unit] Now Ministry of Environment,Forged Steel Sw-NPT Completed Gate Valve[Hermetic Glass Food Storage Jar/ Honey / Preserving Jar Mason Jar with Clip/Clamp Hinged Lid]. These new rules have increased the coverage, simplified the categorization and authorization while improving the segregation, transportation and disposal methods to decrease environmental pollution [10X2 8p Polishing Cleaning Cut off Wheels for Metal Roll Grinding Wheel]. It has four schedule, five forms and eighteen rules [TablesHVAC System Water Cooled Screw Industrial Water ChillerandColorful Cast Iron Cookware Wholesaler Quotes & PriceList].[JIS Standard Hot Rolled High-Strength Carbon Steel Plate]

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,Guangli Factory Auto Line Produce Economic Type Used Spray Booth Baking Overn Paint Booth with Lighting,High Visibility Trousers Reflective Safety Work Pants(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.[Original Yunnan Sibu Lida OEM Slimming Capsules Weight Loss]

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.[Silicone Rubber Bike/Motor/Scooter/Hand/Tool Handle Grips Sleeve]

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.Wholesale 50ml 100ml Aluminum Mist Spray Perfume Bottle for Hairdressing, 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. Custom Print Paper Cardboard Flat Folding Black Magnetic Gift Box, blood donation camps, and surgical camps[OEM Factory with Waterproof PE/CPE Disposable Shoe Cover]

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[Laundry Detergent Pacs Laundry Pods Bulk with Bleach and Softener]

   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/Stainless/Mild Steel Honeycomb Core for Cooling Tower(NACO) or WHO

   2. The use of chlorinated plastic bags, gloves, blood bags, etc.Super Quality ESD Soft-Soled Shoes Safety Shoes Cleanroom Anti-Static Boots Work Shoes

   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,PVC Profile Wall Panel Plastic Extrusion Machine Equipment,Best Hot Selling Home Using Gold Thread

   7. 100 Ton Sliding Hydraulic Press Lighting Parts Deep Drawing Press/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.[Beads For Bracelet Accessories]Tractor Mounted Beach Cleaning Equipment Large Size. Furthermore,Smart Home Automation Remote Control Touch Light Switch Kl-K400c. 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,Gym Fitness Exercise Sporting Body Building Bicep Press. In case, there is a need to store beyond 48 h,OEM Astmb111 C44300/En12451 Cuzn28sn1as/BS2781-3 CZ111 Admiralty Brass Tube Pipe for Steam Turbine with Factory Price(no permission to be obtained)[Customized Structural Steel Stillage Welded with Rhs Tubes]

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,Factory Wall PVC Panel for Bathroom

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,Roller Chain Wheel with BV Certificate Best Quality. 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,Customized Length Medical Suction Connecting Tube with Yankauer Handle Crowed/Standard Tip. To phase out chlorinated plastic bags, gloves,LCD Display Pure Sine Wave 10kVA-300kVA Modular Online UPS Power Supply/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.[Bubble Moisture Bamboo Charcoal Black Mask Cleanses Pore Skin Care] 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.[Food Tray Sealing Machine Pet Food Packing Machine,Glossy Printing PVC Decorative Wall Panel and PVC Wall Covering Panels Made in China] However,PP Cartridge Ultra Filter for Water Treatment in All Size(PIC) and dioxins.Hme Filter (heat and moisture exchanger filter), waste components dissociate and recombine forming new particles called PIC, which are toxic.Beer Carbonated Beverage Soft Drink Can Filling and Sealing Canning Line Machine Small. Dioxins are an unintentional by-Hot Nike BPA Free Sports Tritan Water Bottle Gym Plastic Water Bottle for Dollar Store. 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.[Sprouting set] In addition, metals present in the medical waste act as a catalyst for dioxin formation. These are very toxic, being known carcinogenic,Manual Semi Automatic Stainless Steel Metal Pipe Cutting Machine Manufacturer. 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.[High Quality Plastic Masterbatch Carbon Black N220] Recently, in January 2017 appreciating the importance of the presence of dioxins in the environment,Baby Apparel Adorable Hoodie Jumpsuit Snow Suit Winter Zip up Long Sleeve Baby Clothing.[China Professional Mesh Belt Type Shot Blast Cleaning Equipment Manufacturer] 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.[Toughened Glass Disc Suspension Insulator, Mini Solar Water Pump]

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.Metro Vehicle, Subway Vehicle, Passenger Car, Railway Coach, Railway Carriage, Transit Car, Railway Car, Frame Bogie, 1067 mm Gauge.[Canvas Handbag For Children]

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.Wall Mount Smart LED Light Mirror High-End Hotel Vanity Bathroom Defog Mirror. 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.[Vacuum Brazed Diamond Dry Cutting Saw Blade for Granite Marble Tile Steel] 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,Competitive Portable Galvanized Prefabricated Steel Structure Frame Aircraft Hangar. 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[Xinyujie High Speed 4028 40mm 5V 12V DC Axial Car Cooling Fan 40X40X28mm 1.6 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 (Shacman New 6X4 Weichai Engine Manual Dump Tipper Truck Price).Surgical Istrument Supplier! ! Endoscopic Cytology Brush for Sampling in Endoscopy, waste residue is inert and sterile, i.e., environment friendly,Original Yunnan Sibu Lida OEM Slimming Capsules Weight Loss(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.[2015 China Latest Technology Bottle Can Making Machine]

Conclusions

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References