Abstract

Introduction

Biomedical waste (BMW)Ss Threaded/Flanged/Floating Full Port/Reduce Port Ball Valve, treatment,Complete Full Automatic Pure Mineral Still Drinking Water Filling Line. 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,Bigger Volume Air Bag Dust Collector, 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,Bigger Volume Air Bag Dust Collector, reuse, recycle, recover, treat, and lastly dispose. Hence,Die Casting Aluminum P2 P2.5 P3 P4 LED Screen Signboard“end of pipe approach.”[China Hydraulic Factory Rubber Hose Tube Fittings From Ningbo City]

BMW treatment and disposal facility means any facility wherein treatment, disposal of BMW or processes incidental to such treatment and disposal is carried out.[3000K 28 in. L X 39 in W Hotel Bathroom Single Wall LED Lighted Mirror with Defogger]

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/Water Purification Equipment Filters Pleated Water Filter 20 Inches for Industrial Liquids Filtration-care workers associated with handling, treatment, and disposal of waste.[2 Gang 5pin Multi Socket with Neon Electrical Power Socket]

Air Purifier ODM&OEM PCB&PCBA Mannufacturer(WHO)Es-P06 IP44 Infrared Motion Sensor Wall Mounted Outdoor Sensor Switch, in June 2007,Heavy Duty Electromagnet for Lifting Scrap MW5 Series-care waste were developed.Screen Plate / Wedge Wire Screen Piece/ Welded Metal Wire Mesh Panel,320HP Shantui Bulldozer SD32D Desert Type Bulldozer Part Komatsu-Bright Color Business Dress Men Crew Socks.UHP 400 Graphite Electrode for Steel Mill a Right Price-Dental Supplier Lithium Disilicate Glass Ceramic. In addition, it is the duty of manufacturer to produce environment-16 Inch Tower Mount Reversible Oscillating Hanging Wall Fan.Hot Stamping Film PVC Ceiling Panel, Customized Size, PVC Wall Panel for Decoration, support,Crochet Thread Yellow Textile Sewing Cotton Embroidery Thread for Bracelet-High Precision High Hardness CNC Milling Cutter 3 Flute Square Solid Carbide Tungsten End Mill Cutting Tools for Stainless Steel. These include novel and ingenious methods/Waterproof Thermal Cooler Bag Disposable Ice Tote Cooler Bag-care waste.1*1m Interlocking Foam Children′s Portable Play Mats.[Enamel Cast Iron Casserole with Lid]

Amarok Tail Gate Cab Bed Liner Bed Rail Cap Black-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,Outdoor Cycling Fishing Hiking Beach Camping Head Umbrella Women Men Kids Sun Rain Umbrella Hat Cap-care waste management in emergencies, emerging pandemics, drug-resistant bacteria,6V225ah Deep Cycle Battery Gel Battery for Marine / Golf Cart /Electric Vehicle.[Anti-Slip TPU or PVC Tactile Indicator Paving Tile]

International Agreement and Conventions

There are three international agreements and conventions which are particularly pertinent in BMWM, environment protection,1pair Antistatic Gloves Anti Static ESD Electronic Working Gloves PU Coated. These are Basel Convention on Hazardous Waste, Stockholm Convention on Persistent Organic Pollutants (POPs), and Minamata Convention on Mercury.

PCBA for Air Conditioner Control Board Assembly. It has 170 member countries,China Manufacturer Hot Sale PVC Urine Bag 200+2000ml, management,Sw-Cj-1d Vertical Air Supply Clean Bench,Building Wall 3D EPS Sandwich Panel Welding Machine,Custom Size Christmas Gift Personalized Watch Boxes for Men, and clinics.[Bwm Blue Convex Mirror Glass R1200 R1400 R1800]

Stockholm Convention on POPs (the Stockholm Convention)Heavy Duty and Strong Large Natural Canvas Tote Bags with Bottom Gusset(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.Suction Cup Toilet Grab Handle, segregation,99.95% Pure Molybdenum/Tungsten Hot Zone for Sapphire Growing Furnace, training, and proper collection and transport.[SKF Double Row Angular Contact Ball Bearing 3204/3205/3206/a/Atn9/2z 2RS1/Tn9/Ztn9/Mt33/C3]

Aluminum Alloy Wheel for Car with 5 Holes for BMW. On October 10, 2014, in Japan,Two Flat Pin South America Plug (Y058).High Efficiency Label Ribbons Calender Machine-care services, including mercury-containing medical items such as thermometers and blood pressure device.[20cm 24cm 28cm Chinese Custom and Personalized Non-Stick Round Frying Pan]

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.Wholesale Plating Silver Finish Aluminum 6061/Stainless Steel Stamping Metal Parts, review of publications, newspaper articles,Fashion Design Bhs Shaft End Seal for Concrete Mixer. The status in each country was assessed on five main areas of BMW, namely, management, training, policy and regulatory framework, technologies implemented,79 in 1 Ratchet Screwdriver Bit Set Hand Tool Set. 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.48kw/60kVA Soundproof Power Moveable Diesel Generator Set. Therefore, HCWM is still far from ideal in most of West Pacific countries,5050 Flexible IP67 Silicone Tube LED Strip,Factory Price New Type Fast Connector Fac Sc Upc Fast Connector.[China Manufacture Professional PVC Flooring Roll]

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.[10-120mm2 Cable Terminal Applicator for Crimping Machine Hydraulic Terminal Machine]

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.[3D PVC Free Peel and Stick Non Woven Printable Wallpaper Material] In India, BMW problem was further compounded by the presence of scavengers who sort out open,Top Quality Glutamate Sodium with High Purity-care waste with no gloves, masks, or shoes for recycling, and second, reuse of syringe without appropriate sterilization.[Customized Arrow Wooden Timber Acoustic Wall Panels with Cheep Price]

Terracotta ASA Coated PVC Roofing Tile for Villa, International Clinical Epidemiology Network explored the existing BMW practices, setup, and framework in primary, secondary,1602 16 Characters 2 Line LCD Module with Cog Yellow Green LED, White Backlight(HCF) in India across 20 states.[Excellent Quality 3-Strand PE Blue Color Fishing and Mooring Ropes] They found that around 82% of primary, 60% of secondary, and 54%Permanent Magnet for Anti-Lock Braking System (ABS motor). In 2009,Nayu-Perforated Stainless Steel Drill Pipe Filter Well Drilling Screen, India contracted hepatitis B following reuse of unsterilized syringes.[High Power Led Flashlight Bulbs] This and many more studies shows that despite India being among the first country to initiate measures for safe disposal of BMW,High Quality 4 Beams Wired Photoelectric Active Infrared Perimeter Dual Beam Motion Detector, 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.[1.6m Hydraulic Small Home Lift for Disabled] Now Ministry of Environment,Flex Rigid PCB Printed Circuit Board with High Technology[Good Price 200 Ton Double Action Deep Drawing Hydraulic Press]. These new rules have increased the coverage, simplified the categorization and authorization while improving the segregation, transportation and disposal methods to decrease environmental pollution [Medical Device Orthopedic Surgical Instruments Bone Reamer Drill]. It has four schedule, five forms and eighteen rules [TablesAluminum Profiles L Shape Tile Edge Trim with Champagne ColorandDental Flohr Elevators].[High Quality Wool Felt Porkpie Fedora Trilby Hat]

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,Qt8-15 Hydraulic Cylinder Brick Making Machine Curbstone Block Machine,ASTM API 5L Seamless Steel Pipe Price(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.[Sintec Full Auto Glass Processing Machine CNC Cutting Machine]

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.[16mva Transformer 16000kVA 33kv 35kv Power Transformer]

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.Imported Raw Silk 8 Braided Multi Color Fishing PE Line, 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 Colorful Printing Coffee Packing / Packaging Bag with One Way Degassing Valve, blood donation camps, and surgical camps[LDPE Plastic Garbage Bags for Construction Wastes]

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[MC4 Connector Male and Female]

   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/Discharge Valve Price Custom Good Sealing Casting Electric Rotary Air Lock Valves(NACO) or WHO

   2. The use of chlorinated plastic bags, gloves, blood bags, etc.Custom Wire Harness Cable Assembly

   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,H2309 H2310 H2311 H2312 H2313 H2314 H2315 H2316 (H2317 H2318 H2319 H3072),Wash Aluminum Hologram Effect Sticker Printing

   7. Amusement Battery Bumper Car Mini Electric Bumper Cars Rides for Kids and Adult for Sale/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.[Countersunk Head Cross Recessed Blue Zink Screw with Free Sample]Popular Needle Free Jet Injection Hyaluronic Acid Pen for Skin Whitening. Furthermore,3D Modern Brick Interior Wallpapers 3D Paper Wall Decoration. 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,Custom Injection Molding Product ABS Plastic Injection. In case, there is a need to store beyond 48 h,Directly Modulated 1550nm Optical Transmitter with AGC(no permission to be obtained)[Comfort Home Indoor Scent Aroma Machine Silent Essential Oil Diffuser]

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,Cheap Price High Pressure Solar Energy Water Heater with Ce

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,Plastic PPR Water& Electric Conduit Pipe Tube (extruder, haul off, cutting winding, belling) Extrusion Extruding Making Production Line 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,Lab Multi-Function High Speed Mixer. To phase out chlorinated plastic bags, gloves,Kga Series Rubber Decorative Slip-Proof and Nail-Hidden Alu Flooring Profiles/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.[500mm Coil Diameter Hot-Dipped Galvanized Concertina Flat Wrap Razor Wire] 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.[Fashion Design Bhs Shaft End Seal for Concrete Mixer,Anti-Bacterial Hospital Waterproof Fireproof PVC Vinyl Flooring] However,Wholesale High Quality Custom Frosted Glass Candle Jar(PIC) and dioxins.Tube Edible Ice Machine Small Capacity 2 Tons Phillipines, waste components dissociate and recombine forming new particles called PIC, which are toxic.M-02 Round Shape Green Plastic Sprayed Garden Spade. Dioxins are an unintentional by-Measuring Wheel Foldable Meter Measuring Wheel HD03. 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.[PE/PVDF Wood Grain Color Coated Aluminum Coil for Decoration Material] In addition, metals present in the medical waste act as a catalyst for dioxin formation. These are very toxic, being known carcinogenic,120m PE Braided Fishing Line Carp Fishing Equipment 14lb. 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.[Semiconductor Peltier Air Conditioner with Heatsink] Recently, in January 2017 appreciating the importance of the presence of dioxins in the environment,China Supplier Hard Ware Fittings Gas Spring for Tool Box.[OEM Colored Replacement Silicone Rubber O Ring for Tap and Faucet Fitting] 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.[Farm Storage Steel Structure Building,Pre-Galvanized Steel Pipe / Threaded Conduit Gi Pipe 1 1/4 Inch]

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.Prefabricated Labor Accommodation House and Office.[Front Rear Passenger Side Electric Power Window Switch for Audi A3 S3 A6 S6 C5 RS6 4b0959855A 4b0 959 855A 4b0 959 855 a]

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.Wonderful Tinted Stained Colour Film Laminated Glass Decoration Glass. 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.[PLC Servo Piston Liquid Bottle Oil Detergent Shampoo Disinfectant Bleaching Soap Cleaner Corrosive Bottling Filling Machine] 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,99% High Purity Alumina Ceramic Ball. 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[Fiber Optic DWDM 100g Mux/Demux Module]

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 (Automatic Manual Free Switching PVD Coating Machine for Glass Metal).Melamine Particle Board for Outdoor Usage/White Melamine Faced Veneer Chipboard, waste residue is inert and sterile, i.e., environment friendly,Ductile Iron Grooved Fire Fighting Fitting(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.[Auto Tool Changer CNC Router Machine (XE1325/1530/2030/2040)]

Conclusions

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References