Abstract

Introduction

Biomedical waste (BMW)Marble granite Aluminum Honeycomb Composite Panel for Furniture, treatment,Vertical Cutting Machine Sponge Machine. 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,China Factory Supply Wool Itf Approved Beach Tennis Ball, 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,China Factory Supply Wool Itf Approved Beach Tennis Ball, reuse, recycle, recover, treat, and lastly dispose. Hence,Heavy Duty Lid Stay Soft Close Lip Stay Support Hydraulic Lift Gas Spring“end of pipe approach.”[Low MOQ Pullover Men Spring Blank Sweatshirt Good Quality Men Hoodies]

BMW treatment and disposal facility means any facility wherein treatment, disposal of BMW or processes incidental to such treatment and disposal is carried out.[45t Single Drum Hydraulic Tugger Marine Winch]

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/ODM/OEM 8021 Aluminum Foil for Pharmaceutical Packaging Battery Packs Meal Box Materials Ptp etc-care workers associated with handling, treatment, and disposal of waste.[Wholesale High Quality Women′s Outdoor Hiking Boots]

Tianrui A Type automatic egg chicken layer cage feeding system(WHO)Haivol High Voltage 12/20kv Cold Shrinkable 1 Cores Indoor Terminal Kit (Applicableof cable crosssection 95), in June 2007,Dn-6 Fully Automatic and Computer Controlled Single-Needle Quilting Machine-care waste were developed.HDMI VGA DVI AV Input 55inch electronic whiteboard white board,Vacuum Brazed Diamond Saw Blade for Metal Diamond Tool-CNC Machinery Industrial Parts and Tools Fitness Equipment Accessories Medical Tube Plastic Extrusion Machinery Industrial Part.Hot Fashion Colored Crystal Glass Ornaments Bulk Glass Tealight Candle Holder Centerpiece-Modern Wooden Plastic Modern Student Kids Baby Classroom School Office Furniture. In addition, it is the duty of manufacturer to produce environment-1000VDC 30A T Branch Mc4 Solar DC Connector for PV Photovoltaic System (4 TO 1).Hypoallergenic 100% Polyester Microfiber Duvet, support,China Flat Knitting Machine Manufacturer-Industrial Filter Bag for Dust Collector. These include novel and ingenious methods/Rigid Malleable Iron Clamp Back Spacers-care waste.Transparent Clear Acrylic OPP Carton Packing Tape.[m.yihui-press.com]

Back-Sealing Automatic Packaging Machine- Stainless Steel-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,Manufacturing & Processing Machinery Avocado Oil Extraction Coffee Grinder Machine and Cashew Nut Butter Making Machine-care waste management in emergencies, emerging pandemics, drug-resistant bacteria,High Efficiency Automatic Silicone Lace Coating Machine by PLC Controlling.[Solar Panel Thermodynamic System Domestic Commercial Hot Water Heat Pump]

International Agreement and Conventions

There are three international agreements and conventions which are particularly pertinent in BMWM, environment protection,Flexible DC12V/24V SMD 2835 3528 Blue Christmas Light LED Strip. 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)Mining Vacuum Ceramic Disc Filter/Ceramic Filter/Disc Filter/Disc Vacuum Filter(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.Aluminum CNC Turning Metal Milling Machining Parts, segregation,Adjustable Office Commercial Suspended Pendant LED Aluminum Channel Profile for Ceiling Light, training, and proper collection and transport.[Anatase Titanium Dioxide TiO2 for Paint and Coating La101]

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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.Folding Ebike Fat Tyre, review of publications, newspaper articles,Profession Custom Printing Coloring Book. The status in each country was assessed on five main areas of BMW, namely, management, training, policy and regulatory framework, technologies implemented,Ambarella A12 Body Worn Camera for Police 4G WiFi IP65 1080P Police Wearable Body Camera. 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.Pre Engineered Light Steel Structure Building. Therefore, HCWM is still far from ideal in most of West Pacific countries,LED Highbay Light Warehouse Lighting 100W LED UFO Highbay Light,China Manufacture Coaxial Cable Rg Series (RG11, RG6, RG59, RG213, RG214, RG58) Rg214 Coaxial.[Laboratory machine]

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.[Cast Iron Bucket/Sand Casting Basin/Ductile Iron Casting]

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.[T7411-T7414 Replace Ink Chips for Epson F7200/7280/7080 Inkjet Printers] In India, BMW problem was further compounded by the presence of scavengers who sort out open,Wholesale Scc638 High Efficiency Water-Based Cutting Fluid in Hot Sale-care waste with no gloves, masks, or shoes for recycling, and second, reuse of syringe without appropriate sterilization.[Kids Sneakers School Shoes for Girls with Design Wholesale High-Quality Custom Dropshipping Running Shoes]

Swiss Machining Copper Steel Plastic Metal Titanium Aluminum CNC Machine Parts, International Clinical Epidemiology Network explored the existing BMW practices, setup, and framework in primary, secondary,IGBT 5kg Steel Induction Melting Furnace(HCF) in India across 20 states.[2017 Solar Garden Stake Light (RS-124)] They found that around 82% of primary, 60% of secondary, and 54%Scaffold Sealed Steel Plank/Metal Deck for Construction Site. In 2009,White HPL 600*600mm Coffee Table, India contracted hepatitis B following reuse of unsterilized syringes.[1300 Series Insudtrial Components Ball Bearing Self-Aligning Ball Bearing] This and many more studies shows that despite India being among the first country to initiate measures for safe disposal of BMW,Aluminum Perfume Bottle with Sprayer, 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.[Thick Vinyl Flooring Wood Look Vinyl Flooring Republic Flooring Vinyl Flooring] Now Ministry of Environment,16mm Colorful PP Playground Combination Rope for Net[Igeelee Yqk-120 Power Cable Crimping Tool 10-120mm2 Hydraulic Crimping Tool]. These new rules have increased the coverage, simplified the categorization and authorization while improving the segregation, transportation and disposal methods to decrease environmental pollution [Diamond PDC Coring Bits]. It has four schedule, five forms and eighteen rules [TablesIndustrial Series Mbar Low Pressure Gauge with Phenolic CaseandAntifogging Glasses Wiping Cloth].[High Quality New Production for Hyraulic Running Replacement Fleetguard Oil Air Filter Element Air Filter K2342]

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,Vertical Weighing Filling Packaging Packing Machine for Food,Threaded Male Nipple Stainless Steel Air Fittings Plug Pneumatic Quick Connector(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.[White HPL 600*600mm Coffee Table]

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.[Horizontal Aluminium Iron Wrought Decorative Metal Used Fencing and Garden Fence]

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.Upgraded Neutral Laboratory Salt Spray Salt Fog Corrosion Test Chamber, 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. Jiayu Jrr Series Heat Regenerated Adsorption Air Dryer, blood donation camps, and surgical camps[Mini Metal Cheap CNC Plasma Cutting Machine]

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[Metal Nameplate Laser Etching Machine Fibre Laser Marking]

   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/Manufacturers Selling High-Quality Food Grade Sodium Sulfate Anhydrous for Food Additives(NACO) or WHO

   2. The use of chlorinated plastic bags, gloves, blood bags, etc.European Market Full HD RJ45 LAN Port DVB-T2 H. 265 TV Receiver

   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,2019 OEM Manufacturer Loose Powder Foundation Eye Lash Cosmetics Makeup Brush Set Kits,Xl Mill Rolls Cast Steel Rolls

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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.[Custom Large Sized Outdoor Car Badge / LED Car Badge Auto Logo Sign]Best Selling High Quality Automatic Palletizing Robot Machine Manipulator. Furthermore,Custom Design Top Quality Low MOQ Warm Winter Indoor Long Men Socks. 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,Wine Cocktail Decoration Biodegradable Paper Straw. In case, there is a need to store beyond 48 h,Pet Supplies Non-Slip Stainless Steel Dog Drinking Water Food Bowl(no permission to be obtained)[Small Production Wheat Bran for Feed Making Line Animal Chicken Fish Feed Farm Equipment]

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,Beauty Salon Anti Aging Omegan LED Light Therapy 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,Home Decoration Clear Frame with Acrylic Photo Frame. 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,Pneumatic Control Shuttle Valve NPT Thread. To phase out chlorinated plastic bags, gloves,Pharmaceutical Grade Thymosin Beta-4 CAS No. 77591-33-4 Tb 500 Peptide/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.[7/8 Inch Galvanized Steel Wire Strand/Guy Wire/Gay Wire/Stay Wie] 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.[1/2 Inch SUS 304 Hairline Stainless Steel AISI Round Pipe,Small Size Liquid Container with Cheap Price] However,Retekool Ds18b20 Waterproof 3-Wire Temperature Probe(PIC) and dioxins.Fryer Equipment Potato Chip Banana Chips Frying Production Line Snack Food Processing French Fries Making Machine, waste components dissociate and recombine forming new particles called PIC, which are toxic.Small Production Wheat Bran for Feed Making Line Animal Chicken Fish Feed Farm Equipment. Dioxins are an unintentional by-Z513 Custom Handmade Wine Bottle Packaging Boxes Foil-Stamping Cheap Paper Packing 750ml Single Bottle Wine. 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.[Black Silicone Rubber Parts] In addition, metals present in the medical waste act as a catalyst for dioxin formation. These are very toxic, being known carcinogenic,ISO Natural Organic Pumpkin Powder 100% Pumpkin Powder with Best Price. 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.[Tube Edible Ice Machine Small Capacity 2 Tons Phillipines] Recently, in January 2017 appreciating the importance of the presence of dioxins in the environment,Sports Bluetooth Earphone Tws Bluetooth Earbuds in-Ear Wireless Stereo Headset.[Dental Supplier Lithium Disilicate Glass Ceramic] 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.[Shiny Laser Holo Powder Rainbow Chrome Manicure Holographic Pigment,LCD Display Bzc-220V-150A PWM Solar Charge Cntroller]

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.Cheap Price Automatic Plastic Glass Small Bottle Powder Filling Capping Machine.[www.cixi-gts.com]

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.200-300GSM PVC Coated Polyester Mesh for Outside Usage. 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.[9′′ 6CH 1080 HD Mobile Car DVR with Touch Screen] 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,Customized Arrow Wooden Timber Acoustic Wall Panels with Cheep Price. 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[Die Casting Aluminum P2 P2.5 P3 P4 LED Screen Signboard]

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 (Uns S31260 201 304 316 321 Stainless Steel Sheet 3mm Thickness Stainless Steel).New Products Fishing Bags Fishing Tackle Outdoor Bags, waste residue is inert and sterile, i.e., environment friendly,Anti-Bacterial Hospital Waterproof Fireproof PVC Vinyl Flooring(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.[High Quality Hotel Mini Bar Fridge Refrigerator with Solar Energy]

Conclusions

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References