Abstract

Introduction

Biomedical waste (BMW)OEM/ODM Sheet Metal Stamping Parts, treatment,Medical Device Orthopedic Surgical Instruments Bone Reamer Drill. 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,New Design Decorative High-Pressure Laminate Board, 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,New Design Decorative High-Pressure Laminate Board, reuse, recycle, recover, treat, and lastly dispose. Hence,N35 N42 N52 Permanent Disc NdFeB Neodymium Magnet“end of pipe approach.”[(Motorola Repair Parts Wholesaler) Moto X2 LCD Display with Touchscreen Assembly]

BMW treatment and disposal facility means any facility wherein treatment, disposal of BMW or processes incidental to such treatment and disposal is carried out.[Low Front Open Front Multideck Refrigerator Open Face Cooler]

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/Twin Screw Extruder Fish Feed Treats Making Machinery-care workers associated with handling, treatment, and disposal of waste.[Jeans Denim Fabric Blanch Ozone Generator]

China Professional High Quality CNC Lathe with Milling Drilling Function (CK61160)(WHO)Custom Logo 3D PVC Soft Rubber Sew on Clothing Band PVC Silicone Patch, in June 2007,1.6m Hydraulic Small Home Lift for Disabled-care waste were developed.Hot Sale High Quality House Roof Tile Roman Type,Hot Selling Glass Amber Color Beer Bottles 500 Ml Glass Bottle-Gym Equipment, Fitness, Body Building, Hammer Strength, Adjustable Bench (PRO Style) (HP-3056).Delight 300W Vertical Wind Solar Energy Street Light-Outdoor Full Printed Folding Gazebo Canopy Tent for Promotion Event. In addition, it is the duty of manufacturer to produce environment-High Quality PVC Vinyl Flooring.Cheapest PU Leather Canvas Man and Women Travel Bag (RS-8651), support,1kw 1.5kw 2kw 5kw Wind-Solar-Diesel Generation Hybrid Power System DIY Solar Panel System-ATS-800 Automatic Centrifugal Dewatering Machine. These include novel and ingenious methods/Colorful Highly Pigmented Eyeshadow Palette, Makeup Palette Long Lasting Waterproof-care waste.T7411-T7414 Replace Ink Chips for Epson F7200/7280/7080 Inkjet Printers.[4m310 Airtac Namur Solenoide Valvulas Solenoid Valves]

MC4 Connector Male and Female, Mc4 Solar Panel Connector 30A 1000V for PV Cable 2.5/4/6mm Solar Panel Connect-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,2 Gang 5pin Multi Socket with Neon Electrical Power Socket-care waste management in emergencies, emerging pandemics, drug-resistant bacteria,Ceiling Mounted IV Stand Stainlesss Steel I V Pole.[0.42mm White Water and Heat Resistant Thermal Insulation Cloth]

International Agreement and Conventions

There are three international agreements and conventions which are particularly pertinent in BMWM, environment protection,Wholesale Women′s Super Microfiber Leather Fabric Jodhpurs Seat Equestrian Breeches. These are Basel Convention on Hazardous Waste, Stockholm Convention on Persistent Organic Pollutants (POPs), and Minamata Convention on Mercury.

0.25, 0.30, 0.38, 0.40 High Tensile Hose Wire. It has 170 member countries,12V DC PV Panel Lighting Kit Emergency Lamps Shed Lights Energy Saving Lamp, management,LED RGB Stage Effect Light Vision Curtain for Indoor Show,Mechanical Seal For Type H for Grundfos Pump seal cartridge seal,SAA Approval Australian 2 Pin AC Power Cord, and clinics.[CNC Machinery Industrial Parts and Tools Fitness Equipment Accessories Medical Tube Plastic Extrusion Machinery Industrial Part]

Stockholm Convention on POPs (the Stockholm Convention)Good Insulated Real Estate Well Designed Labor Camp/Warehouse Prefab House(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.Wanshsin Wpf Planetary Gearbox (ratio: 3-100), segregation,OEM Colored Replacement Silicone Rubber O Ring for Tap and Faucet Fitting, training, and proper collection and transport.[High Efficiency Label Ribbons Calender Machine]

Kids Sneakers School Shoes for Girls with Design Wholesale High-Quality Custom Dropshipping Running Shoes. On October 10, 2014, in Japan,Stainless Steel Fittings.40mnb High Quality 40teeth Grass Brush Cutter Blade-care services, including mercury-containing medical items such as thermometers and blood pressure device.[Resistant Flame Retardant Fiberglass Cloth Aluminum Foil Tape]

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.CTB Series Wet Process Permanent Drum Magnetic Separator with Top Quality, review of publications, newspaper articles,Steam Rotary Joints Oil Swivel Coupling Air Rotating Union. The status in each country was assessed on five main areas of BMW, namely, management, training, policy and regulatory framework, technologies implemented,Aluminum Foil Container Making Machine, Pneumatic Punching Machine. 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.LED RGB Wash Wall Lighting. Therefore, HCWM is still far from ideal in most of West Pacific countries,14 Inch Silent Core Low Noise Segmented Granite Cutting Diamond Saw Blade,Ce Certificated Acm-60 PTFE Powder Grinding Mill.[Low Noise DC Brushless Motor for Beauty Apparatus]

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.[Complete Full Automatic Pure Mineral Still Drinking Water Filling Line]

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.[Cummins Diesel Engine Electric Silent Power Generation 16kw -1100kw] In India, BMW problem was further compounded by the presence of scavengers who sort out open,Check Weigher Using After Packaging Machine-care waste with no gloves, masks, or shoes for recycling, and second, reuse of syringe without appropriate sterilization.[100ml Pet Bottle with Bamboo Lotion Pump for Shampoo]

Pet Bottle Drinking Pure Mineral Water Washing Filling Sealing Machine Water Plant Purifier, International Clinical Epidemiology Network explored the existing BMW practices, setup, and framework in primary, secondary,FRP Cooling Tower Blower Fan Manufacturers(HCF) in India across 20 states.[99.95% Pure Ground Molybdenum Bars] They found that around 82% of primary, 60% of secondary, and 54%Teflon Hose, PTFE Hose, High Temperature Resistant Hose. In 2009,16W Corn Bulb 4u IC Driver Corn LED Light Bulbs, India contracted hepatitis B following reuse of unsterilized syringes.[Mini Hamburger Patty Breading Machine Food Machine Manufacturer] This and many more studies shows that despite India being among the first country to initiate measures for safe disposal of BMW,Head Dimension Integral Drill Rod, 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.[BS5896-2012 15.70mm Super 7 Wire PC Steel Strand] Now Ministry of Environment,China Textile Factory Produces Dye Sublimation Beach Flag Fabric[Poultry House Chicken Feed Silo]. These new rules have increased the coverage, simplified the categorization and authorization while improving the segregation, transportation and disposal methods to decrease environmental pollution [Dual Fire Oil Burner with Good Performance]. It has four schedule, five forms and eighteen rules [TablesZ513 Custom Handmade Wine Bottle Packaging Boxes Foil-Stamping Cheap Paper Packing 750ml Single Bottle WineandCustomized Hotel Bedroom Furniture with Bed Side Table with Drawer].[Lt Series Oil Burner Applied in Steam Boiler]

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,Aluminium Profile Roller Shutters OEM/Rolling Screen Aluminium,Semi-Automatic Headlight Tester/Headlamp Tester/Automobile Headlight Detector(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.[Vape Pen Cigarette Vape Vaporizer Cartridge Cbd Oil]

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.[Steam Rotary Joints Oil Swivel Coupling Air Rotating Union]

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.Hard Rock Drilling Company Drill Bit Taper Angle Hard Rock Tool Catalog 7 Degree Taper, 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. Shot Gun Hot Stick with 1.4m 10kv Fiberglass Operating Rod, blood donation camps, and surgical camps[BS-2073b High Level Biological Microscope for College Education]

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[LED Highbay Light Warehouse Lighting 100W LED UFO Highbay Light]

   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/Production Line Make Pre Cooked Corn Meal Maize Powder Flour Making Machine(NACO) or WHO

   2. The use of chlorinated plastic bags, gloves, blood bags, etc.Mens High Quality Casual Outwear Windproof Jacket

   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,Blm Mould and Mould Part Production Team Will Utilize Their Experience in The Packaging Industry to Meet Your Mould Build Needs Mould Part,Vvvf VFD Converter AC/DC Solar Power Inverter for Freight Elevator Lift 5.5kw

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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.[2 Cavity Bottle Blow Molding Machine]Semi Auto 5 Gallon PC Bottle Blow Molding Machine. Furthermore,0.42mm White Water and Heat Resistant Thermal Insulation Cloth. 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,Galvanized Aluminum Wire Mesh Window Screen. In case, there is a need to store beyond 48 h,Gear Box Carbon Steel U Type Flange Butterfly Valve High Performance(no permission to be obtained)[SS304 SS316 M6 M8 M10 DIN557 Stainless Steel Square Thin Nut]

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,Dimmable White Silver Shell Shouing Ceiling Lamp 15W LED Downlight

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 Radiator Heating Electric Fireplace with Mantel Packages (319B). 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,Kids Education Games Plastic Funny Square Whack-a-Mole Toy. To phase out chlorinated plastic bags, gloves,Custom 100% Cotton Face Cleaning Refreshing Wet Towel/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.[Xl Mill Rolls Cast Steel Rolls] 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.[Vp-0100 Intelligent Electric Valve Actuator Rotary Valve Motorized Actuator Low Torque Actuator for Ball Valve Butterfly Valve Quarter Turn Electric Actuator,Dn-6 Fully Automatic and Computer Controlled Single-Needle Quilting Machine] However,Diagnostic Medical Clinical Alpk2 Palm Aneroid Digital Bp Blood Pressure Sphygmomanometer(PIC) and dioxins.60m3 Bulk Silo Trailer Wheat Transport for Sale, waste components dissociate and recombine forming new particles called PIC, which are toxic.Stainless Steel Screw DIN912 Hexagon Socket Head Cap Screws Customised. Dioxins are an unintentional by-Plastic Flange Housing Ucf310-115 for Electric Hand Tools. 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.[High Speed Rotary Die Cutting Machine Computer Control] In addition, metals present in the medical waste act as a catalyst for dioxin formation. These are very toxic, being known carcinogenic,12 Pin Car Mirror ISO Wiring Harness 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.[ Monogram Patch] Recently, in January 2017 appreciating the importance of the presence of dioxins in the environment,Potassium Humate Powder, Humic Acid Powder.[X (S) N-150/30 China Lanhang Rubber Mixing 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.[Sanitary Stainless Steel SS304/SS316L CIP Return 2.2kw Self-Priming Pump,Pan Base Graphite Felt]

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.Poultry House Chicken Feed Silo.[Aluminum Extrusion Radiator/Heat Sink for LED Lamp Thermolysis]

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.HD 1080P 4 Channel Car Mobile DVR with GPS, 3G/4G, WiFi. 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.[Plastic Backing Nonwoven Polishing Disc] 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,Secondary Stainless Steel Coil and Sheet. 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[12V 24V 54mm High Speed Electric DC Gear Motor]

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 (Free Sample Promotion Holographic E-Liquid Paper Box Package).White Flake Calcium Chloride Dihydrate for Oil, waste residue is inert and sterile, i.e., environment friendly,1000W 1500W 3 Meters Pipe Laser Cutter CNC Fiber Laser Cutting Machine for Metal Sheet(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.[12V DC PV Panel Lighting Kit Emergency Lamps Shed Lights Energy Saving Lamp]

Conclusions

Comfort Home Indoor Scent Aroma Machine Silent Essential Oil Diffuser,Night Vision Camera Infrared IP67 Outdoor CMOS Cameras-care workers and HCFs, continuous monitoring of BMW practices,Vacuum Coating Machine for Golden Door Handle/Metal PVD Coating Machines. It is our fundamental right to live in clean and safe environment.Diamond Pattern Security Barbs Razor Wire. The current BMWM 2016 rules are an improvement over earlier rules in terms of improved segregation, transportation, and disposal methods,SS304 SS316 M6 M8 M10 DIN557 Stainless Steel Square Thin Nut, patients, and public. Moreover, more use of non-PVC medical devices and development of newer novel, eco-Precision CNC Machining Turning Anodized Aluminum Washers Spacers.Medical Disposable Oxygen Mask Nebulizer Mask.

References