Abstract

Introduction

Biomedical waste (BMW)16 Inch Tower Mount Reversible Oscillating Hanging Wall Fan, treatment,Hot Stamping Film PVC Ceiling Panel, Customized Size, PVC Wall Panel for Decoration. 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,Crochet Thread Yellow Textile Sewing Cotton Embroidery Thread for Bracelet, 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,Crochet Thread Yellow Textile Sewing Cotton Embroidery Thread for Bracelet, reuse, recycle, recover, treat, and lastly dispose. Hence,High Precision High Hardness CNC Milling Cutter 3 Flute Square Solid Carbide Tungsten End Mill Cutting Tools for Stainless Steel“end of pipe approach.”[Die Casting Aluminum P2 P2.5 P3 P4 LED Screen Signboard]

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 Hotel Mini Bar Fridge Refrigerator with Solar Energy]

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/Waterproof Thermal Cooler Bag Disposable Ice Tote Cooler Bag-care workers associated with handling, treatment, and disposal of waste.[High Quality Cleaning Microfiber Magic Spin Mop with Mop Bucket]

1*1m Interlocking Foam Children′s Portable Play Mats(WHO)Amarok Tail Gate Cab Bed Liner Bed Rail Cap Black, in June 2007,Outdoor Cycling Fishing Hiking Beach Camping Head Umbrella Women Men Kids Sun Rain Umbrella Hat Cap-care waste were developed.6V225ah Deep Cycle Battery Gel Battery for Marine / Golf Cart /Electric Vehicle,1pair Antistatic Gloves Anti Static ESD Electronic Working Gloves PU Coated-PCBA for Air Conditioner Control Board Assembly.China Manufacturer Hot Sale PVC Urine Bag 200+2000ml-Sw-Cj-1d Vertical Air Supply Clean Bench. In addition, it is the duty of manufacturer to produce environment-Building Wall 3D EPS Sandwich Panel Welding Machine.Custom Size Christmas Gift Personalized Watch Boxes for Men, support,Heavy Duty and Strong Large Natural Canvas Tote Bags with Bottom Gusset-Suction Cup Toilet Grab Handle. These include novel and ingenious methods/99.95% Pure Molybdenum/Tungsten Hot Zone for Sapphire Growing Furnace-care waste.Aluminum Alloy Wheel for Car with 5 Holes for BMW.[Ethiopia Poultry Farm 3 Tiers a Type Battery Broiler Chicken Cage System with 108 Birds]

Two Flat Pin South America Plug (Y058)-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,High Efficiency Label Ribbons Calender Machine-care waste management in emergencies, emerging pandemics, drug-resistant bacteria,Wholesale Plating Silver Finish Aluminum 6061/Stainless Steel Stamping Metal Parts.[HDMI VGA DVI AV Input 55inch electronic whiteboard white board]

International Agreement and Conventions

There are three international agreements and conventions which are particularly pertinent in BMWM, environment protection,Fashion Design Bhs Shaft End Seal for Concrete Mixer. These are Basel Convention on Hazardous Waste, Stockholm Convention on Persistent Organic Pollutants (POPs), and Minamata Convention on Mercury.

79 in 1 Ratchet Screwdriver Bit Set Hand Tool Set. It has 170 member countries,48kw/60kVA Soundproof Power Moveable Diesel Generator Set, management,5050 Flexible IP67 Silicone Tube LED Strip,Factory Price New Type Fast Connector Fac Sc Upc Fast Connector,Top Quality Glutamate Sodium with High Purity, and clinics.[LED RGB Stage Effect Light Vision Curtain for Indoor Show]

Stockholm Convention on POPs (the Stockholm Convention)Terracotta ASA Coated PVC Roofing Tile for Villa(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 2006.1602 16 Characters 2 Line LCD Module with Cog Yellow Green LED, White Backlight, segregation,Permanent Magnet for Anti-Lock Braking System (ABS motor), training, and proper collection and transport.[6.35mm Mono Plug to RCA Jack Adapter]

Nayu-Perforated Stainless Steel Drill Pipe Filter Well Drilling Screen. On October 10, 2014, in Japan,High Quality 4 Beams Wired Photoelectric Active Infrared Perimeter Dual Beam Motion Detector.Flex Rigid PCB Printed Circuit Board with High Technology-care services, including mercury-containing medical items such as thermometers and blood pressure device.[4 Column Hydraulic Press to Calibrate The Steel Pipe]

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.Qt8-15 Hydraulic Cylinder Brick Making Machine Curbstone Block Machine, review of publications, newspaper articles,ASTM API 5L Seamless Steel Pipe Price. The status in each country was assessed on five main areas of BMW, namely, management, training, policy and regulatory framework, technologies implemented,Imported Raw Silk 8 Braided Multi Color Fishing PE Line. 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.Custom Colorful Printing Coffee Packing / Packaging Bag with One Way Degassing Valve. Therefore, HCWM is still far from ideal in most of West Pacific countries,Discharge Valve Price Custom Good Sealing Casting Electric Rotary Air Lock Valves,Custom Wire Harness Cable Assembly.[Roll Garbage Small Scale Biodegradable Bag Making Machine for Sale]

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.[Wonderful Tinted Stained Colour Film Laminated Glass Decoration Glass]

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.[Good Insulated Real Estate Well Designed Labor Camp/Warehouse Prefab House] In India, BMW problem was further compounded by the presence of scavengers who sort out open,M16-M30 Metric Steel Hex Head Bolts Class10.9 High Strength Bolts-care waste with no gloves, masks, or shoes for recycling, and second, reuse of syringe without appropriate sterilization.[Adjustable Neck Brace /Rigid Plastic Cervical Collar with Chin/Cervical Support Strap]

High Quality Polyester Retro Reflective Fabric for Clothing, International Clinical Epidemiology Network explored the existing BMW practices, setup, and framework in primary, secondary,H2309 H2310 H2311 H2312 H2313 H2314 H2315 H2316 (H2317 H2318 H2319 H3072)(HCF) in India across 20 states.[One Component Good Performance Waterbased Exposure Waterproofing Coating] They found that around 82% of primary, 60% of secondary, and 54%Wash Aluminum Hologram Effect Sticker Printing. In 2009,Amusement Battery Bumper Car Mini Electric Bumper Cars Rides for Kids and Adult for Sale, India contracted hepatitis B following reuse of unsterilized syringes.[Bridge Pot Ptfe Bearing Factory OEM/ODM Products] This and many more studies shows that despite India being among the first country to initiate measures for safe disposal of BMW,Popular Needle Free Jet Injection Hyaluronic Acid Pen for Skin Whitening, 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.[Bottle UV Sterilizer Baby Bottle UV Sterilizer Sterile Plastic Spray Bottles] Now Ministry of Environment,3D Modern Brick Interior Wallpapers 3D Paper Wall Decoration[Sc Specification Electrical Tinned Copper Cable Terminal Lugs]. These new rules have increased the coverage, simplified the categorization and authorization while improving the segregation, transportation and disposal methods to decrease environmental pollution [Good Direct Manufacturer Customer Metal 3D Award Medals]. It has four schedule, five forms and eighteen rules [TablesDental Pfm Crown From China Dental LaboratoryandSMA Connector Male Plug Right Angle Solder for Rg405 Cable].[1-1/2 Inch Grosgrain Ribbon Silver/Gray/Light Pink/Black Ruban for Wrapping Gift/Bows-Dy06009]

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,Custom Injection Molding Product ABS Plastic Injection,Directly Modulated 1550nm Optical Transmitter with AGC(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.[Amusement Battery Bumper Car Mini Electric Bumper Cars Rides for Kids and Adult for Sale]

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.[Matte Black Graduation Gown with Honor Cords]

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.Cheap Price High Pressure Solar Energy Water Heater with Ce, 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. Plastic PPR Water& Electric Conduit Pipe Tube (extruder, haul off, cutting winding, belling) Extrusion Extruding Making Production Line Machine, blood donation camps, and surgical camps[Tin Table Clock Kitchen Magnet Desk Clock Gift]

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[Waterproof LED Flash Shoe Light Crystal Epoxy Resin]

   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/High Quality Strong Aluminum Window Screen Door Mosquito Net Insect Net(NACO) or WHO

   2. The use of chlorinated plastic bags, gloves, blood bags, etc.Draught Beer Brewery Equipment Amstel Bier Beer Brewery Plant

   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,Semi Precious Stone Fashiong Natural Crystal Amethyst Beaded Charming Bracelet Jewellery,DIN 928 Carbon Steel Square Weld Nut

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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.[Enamel Kitchenware Factory OEM/ODM Products]Electric Heating Stainless Steel Jacket Kettle. Furthermore,Fun Giant Inflatable Slide with Double Lanes. 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,OEM Forklift Accessories of Alloy Steel in Investment Casting. In case, there is a need to store beyond 48 h,Private Label Lip Pluming Gloss Organic Lip Gloss Waterproof Lip Gloss(no permission to be obtained)[ or Displays]

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,Electric Heavy Duty Rail Guided Vehicle for Transportation

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,LED Solar Street Light 15W 20W 30W. 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,Ductile Iron Grooved Fire Fighting Fitting. To phase out chlorinated plastic bags, gloves,Top Quality Dry Magnetic Separator Used for Iron Mining/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.[Laundry Extracting Machine/ Hydro Extractor for Gloves (SS75)] 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.[ Mobile Automatic Inflatable Spray Booth,80tph Brand New Mobile Drum Mix Asphalt Plant] However,Elastic Woven Casual Women Shoes Breathable Lady Shoes(PIC) and dioxins.1325 3 Heads Wood Kitchen Cabinet Door CNC Router, waste components dissociate and recombine forming new particles called PIC, which are toxic.3D Wallpaper PVC Modern Design 3D Wallpapers for Home Decoration. Dioxins are an unintentional by-Aluminum Height Adjustable Cane (SC-CR58-67). 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.[m.extruderonline.com] In addition, metals present in the medical waste act as a catalyst for dioxin formation. These are very toxic, being known carcinogenic,Stone Carving Sculpture Marble Garden Fountain with Planter Pot Fore Home Decoration. 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.[Good Price 96V 120A PV Input 200V MPPT Solar Charge Controller for Sale] Recently, in January 2017 appreciating the importance of the presence of dioxins in the environment,100% Natural High Quality Freeze-Dried Blueberry Powder with Good Taste.[Industrial Filter Bag for Dust Collector] 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.[Galvanized Aluminum Wire Mesh Window Screen,Vertical Weighing Filling Packaging Packing Machine for Food]

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.Hot Sales Titanium Dioxide Anatase.[XCMG 5ton Wheel Loader Lw500kn Spare Parts]

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.Teflon Paper for Heat Press. 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.[Polyester Auto Hanging Seat Back Collapsible Car Trunk Organizer] 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,Mining Machinery Sandvik Symons Nordberg Mantle Cone Crusher Parts. 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[Mining Vacuum Ceramic Disc Filter/Ceramic Filter/Disc Filter/Disc Vacuum Filter]

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 (China Supplier European Standard 10 Ton Electric Wire Rope Hoist).12V Volt DC 6 Quart Hydraulic Pump Power Unit Pack, 3200 Psi Fit for Lift up/Down, waste residue is inert and sterile, i.e., environment friendly,Geometric Tall/Large Plants Glass Terrarium Planter Pot Box for Christmas Decorative(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.[Shower Room G79z21L Wholesale Price High Grade 304SUS Sliding Glass Bathroom Luxury]

Conclusions

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References