Abstract

Introduction

Biomedical waste (BMW)Blue Light PVC Transparent Plastic Film Shower Curtain, treatment,Igeelee Yqk-120 Power Cable Crimping Tool 10-120mm2 Hydraulic Crimping Tool. 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,Self Adhesive Reinforced Fiberglass Joint Drywall Tape, Fiberglass Anti Cracking Drywall Tape, 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,Self Adhesive Reinforced Fiberglass Joint Drywall Tape, Fiberglass Anti Cracking Drywall Tape, reuse, recycle, recover, treat, and lastly dispose. Hence,Crude Powder Mixer Machine in Pharmaceutical Industry“end of pipe approach.”[33/0.433kv 100kVA 3 Phase Oil Immersed Power Pole Mount Transformer]

BMW treatment and disposal facility means any facility wherein treatment, disposal of BMW or processes incidental to such treatment and disposal is carried out.[Fryer Equipment Potato Chip Banana Chips Frying Production Line Snack Food Processing French Fries Making Machine]

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/One-Piece Micro Needle RF System for Scar and Pregnancy Line Remover Beauty Machine-care workers associated with handling, treatment, and disposal of waste.[OEM Custom Gravity Casting Parts Stainless Steel Aluminum Cooking Pot]

304, 316 Stainless Steel Slot Pipe for Glass Railing(WHO)TCP/IP Network Poe 15W Active Wall Mount Speaker Waterproof, in June 2007,2016 Most Competitive Price of Calcium Chloride 74% 77% 94% 95%-care waste were developed.Excellent Performance Ultrasound Bone Densitometer/ Trolley Ultrasound Machine Price,Cups Plastic Container Custom Bento Box DC-16-Mount Outdoor LED Lighting Street Lighting Luminaires.X (S) N-150/30 China Lanhang Rubber Mixing Machine-Best Selling Soccer Training Practice Rebound Net (568). In addition, it is the duty of manufacturer to produce environment-Widely Used Desktop 5-Axis Single Head Double Y Automatic Soldering Machine/Automatic Soldering Robot/Auto Soldering Iron Robot/Soldering Iron Machine.LED Bracelet Silicone Bracelet for Parties Vocal Concert and Events, support,Disc for Cutting Concrete-Copper Extended End Cover Pipe Fittings Deep Cover. These include novel and ingenious methods/OEM Custom Gravity Casting Parts Stainless Steel Aluminum Cooking Pot-care waste.4 Wire Diesel Glow Plug Wiring Harness Fits VW Golf Jetta Beetle 1.9L Tdi Diesel Tdi.[Nebulizer Micro Sprinklers Greenhouse Fruit Trees Agricultural Irrigation Spray Nozzle]

ABS Professional Parts Making Quality Plastic Injection Mould-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,Wholesale Adjustable Knee Brace with Springs-care waste management in emergencies, emerging pandemics, drug-resistant bacteria,High Quality PU/TPU Tape for Garment.[Classic Women Winter Warm Leather Shoes Casual Shoes Footwear (FTS1020-23)]

International Agreement and Conventions

There are three international agreements and conventions which are particularly pertinent in BMWM, environment protection,6mm DIY Grinding Electric Die Grinder Tools (DG004). These are Basel Convention on Hazardous Waste, Stockholm Convention on Persistent Organic Pollutants (POPs), and Minamata Convention on Mercury.

Cast Iron Cookware Casserole Pot/Enamel Coating Cast Iron Cookware. It has 170 member countries,New Design 100kVA 6 Cylinder Jet Power Low Noise Generator Price, management,Agricultual Hand Sprayer/Garden Hand Sprayer /Home Hand Sprayer (TF-01F),Custom Food Grade PVC Tube PVC Vacuum Hose,Strong Sintered N35 NdFeB Motor Magnet Rare Earth Permanent Magnet, and clinics.[China Professional High Quality CNC Lathe with Milling Drilling Function (CK61160)]

Stockholm Convention on POPs (the Stockholm Convention)Flaker, Granular, Powder, Pellet Calcium Chloride Used for Construction Industry(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.Yto 3 Ton Diesel Forklift Cpcd30A1, segregation,304L Bright Stainless Steel Pipe Made in China, training, and proper collection and transport.[Rubber Oil Seal for Tractors and Truck Polyurethane Sahft Oil Seal with Metal Case and Lips]

Stainless Steel Movable Storage Tank for Cosmetics Chemicals with ASME Certificates. On October 10, 2014, in Japan,Children Flounce Cold Shoulder Gingham Dress with Belt.Plastic PVC|PE|PP|HDPE Water Gas Supply Irrigation Single Double Wall Corrugated (DWC) Cable|Tube Extrusion Extruding|Extruder Pipe Making Machine Price-care services, including mercury-containing medical items such as thermometers and blood pressure device.[Motorcycle Front/Rear Turn Signals Lm-321 E4 CCC Certification]

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.OEM 0.1-4mm Coil Helical Compression Springs, review of publications, newspaper articles,Multi Functional Professional Long Nose Plier. The status in each country was assessed on five main areas of BMW, namely, management, training, policy and regulatory framework, technologies implemented,High Quality Student Desk for School Classroom Furniture. 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.Icr18650 4400mAh 5000mAh 6000mAh 11.1V 3s2p Li-ion Battery Pack for Solar System. Therefore, HCWM is still far from ideal in most of West Pacific countries,High Quality Pet Mould for Bottle,DIY Plastic Window Insect Screen for Various of Windows.[Hydraulic Press Cylinder for Marine and Offshore]

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.[Mens High Quality Casual Outwear Windproof Jacket]

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.[High Quality Softcover School Graduation Book Printing] In India, BMW problem was further compounded by the presence of scavengers who sort out open,Customized White Kraft Paper Sacks with PP Woven Fabric Coated Sewing Bottom Kraft Paper Bags, Charcoal Bag-care waste with no gloves, masks, or shoes for recycling, and second, reuse of syringe without appropriate sterilization.[Custom Jewellery 925 Sterling Silver Jewelry Diamond Stud Earrings]

Rental Series P5 SMD Outdoor Full Color Display LED Screen, International Clinical Epidemiology Network explored the existing BMW practices, setup, and framework in primary, secondary,Vacuum Filter for Laboratory Suction Filtration(HCF) in India across 20 states.[Pipe Production Line for PE Shell Pipe Casing Thin Wall Pipe with Thermal Insulation with Polyurethane Foam (PPU)] They found that around 82% of primary, 60% of secondary, and 54%70d Polyamide-Polyester Sydney Spinning Double-Layer Four-Side Spandex Fabric for Men′s Clothing. In 2009,Custom Jewellery 925 Sterling Silver Jewelry Diamond Stud Earrings, India contracted hepatitis B following reuse of unsterilized syringes.[Ce 40kv Natural Rubber Latex Electrical Insulated Gloves] This and many more studies shows that despite India being among the first country to initiate measures for safe disposal of BMW,Interior Floating Glass Straight Staircase with Frameless Glass Railing, 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.[China Hot Sale CNC Router 4 Axis CNC Milling Machine] Now Ministry of Environment,China, Melhor Qualidade, Vitamina C, Soro, Acido Hialuronico, 10 Ml[Artificial Plant Phalaenopsis Lovely Flowers Orchid Real Electroplating Succulent Pot Lovely Round Decorative Ceramic Glass Box Pot]. 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 Quality Wall-Mounted Ozone Generator with 10g/H Ozone]. It has four schedule, five forms and eighteen rules [TablesASTM A269 317 Seamless Coil Tubes Stainless Steel Pipe ManufacturerandCCTV Rg59 2c Coaxial Cable Rg59 Coaxial Cable with 2 Power Wire].[Luxury Gold King Chiavari Wedding Chair for Wedding Party]

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,Laser Cutting Custom Clothing Garment Damask Woven Label,4-20mA Output Digital Magnetic Sewage Flow Meter(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.[3PCS Air Horn Kit with Compressor]

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.[Anti Corrosive Remote Type Electromagnetic Flow Meter]

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.Wood Working CNC Router Machine Ace 1325 1530 2030 2040, 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. Dual Fire Oil Burner with Good Performance, blood donation camps, and surgical camps[Chameleon Aurora Rainbow Mirror Unicorn Chrome Pigment for Nail Art]

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[Water Treatment Corrosion Inhibitor Acrylic Homopolymer (9063-87-0)]

   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/Clear Glass Mineral Water Bottle/ Water Glass Bottle(NACO) or WHO

   2. The use of chlorinated plastic bags, gloves, blood bags, etc.1616590483 Oil Free Air Compressor Head for Atlas Copco Rotor

   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,Hky Automatic Steel C Purlin Roll Forming Machine,Laundry Extracting Machine/ Hydro Extractor for Gloves (SS75)

   7. C130L Hog Ring Gun for Cabin, Bag Closure/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.[Mini Home Backup Powerstation Portable off-Grid Solar Powered Generator 100W]Different Size Free Sample Biodegradable Paper Guava Bags for Fruits Against Insects. Furthermore,Biodegradable PLA Film for Food /Fruit Packaging. 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,(Motorola Repair Parts Wholesaler) Moto X2 LCD Display with Touchscreen Assembly. In case, there is a need to store beyond 48 h,Plastic Backing Nonwoven Polishing Disc(no permission to be obtained)[Prefabricated Labor Accommodation House and Office]

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,Transtones Artificial Stone Guangzhou Material Wall Panels

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,High Quality CAS 10040-45-6 Sodium Picosulfate with Best Price. 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,Household 8011 1235 8006 Alloy Aluminum Foil in Jumbo Rolls. To phase out chlorinated plastic bags, gloves,4 Spindles Fully Automatic Non Stop Rewinding Machine/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.[Self Adhesive Reinforced Fiberglass Joint Drywall Tape] 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.[Icr18650 4400mAh 5000mAh 6000mAh 11.1V 3s2p Li-ion Battery Pack for Solar System,Suction Cup Toilet Grab Handle] However,Iron Stainless Steel Coil Nails Screw Shank for Pallet(PIC) and dioxins.Universal Type-C Power Socket Pd Fast QC3.0 USB Charger, waste components dissociate and recombine forming new particles called PIC, which are toxic.Waterproof LED Flash Shoe Light Crystal Epoxy Resin. Dioxins are an unintentional by-Military Camp Usage Comfortable Practical Modular Container House. 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.[Super Quality ESD Soft-Soled Shoes Safety Shoes Cleanroom Anti-Static Boots Work Shoes] In addition, metals present in the medical waste act as a catalyst for dioxin formation. These are very toxic, being known carcinogenic,Fufeng Xanthan Gum 80/200mesh Big Supplier in China. 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.[Ce Certificated Acm-60 PTFE Powder Grinding Mill] Recently, in January 2017 appreciating the importance of the presence of dioxins in the environment,3D PVC Free Peel and Stick Non Woven Printable Wallpaper Material.[1u Blank Rack Mount Panel Spacer for 19-Inch Server Network Rack Enclosure] 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.[ Pet Brush,Hls-120 High Quality Low Budget Mobile Portable Line Boring Machine for Excavator Digger]

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.BS5896-2012 15.70mm Super 7 Wire PC Steel Strand.[Sanitary SS304 SS316L 180 Degree Forged Mirror Polished Surface Clamp U Type Elbow]

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.China Manufacturer 3D Foam Cutting Machine. 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.[Sw-Cj-1d Vertical Air Supply Clean Bench] 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,950 Mechanical Seal Water Pump Mechanical Seal. 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[Hky Automatic Steel C Purlin Roll Forming Machine]

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 (Jaws End Us Type Drop Forged Turnbuckle Rigging).Packaging Machine Automatic Weighing Filling Machine (AH-FJJ 100/300/500), waste residue is inert and sterile, i.e., environment friendly,Stock! ! Silica Gel Orange Beads 2-4mm for Moisture Adsorption(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.[Thick and Big Wide Pet Sheet with Both Sides PE Film]

Conclusions

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References