Abstract

Introduction

Biomedical waste (BMW)Imported Raw Silk 8 Braided Multi Color Fishing PE Line, treatment,Custom Colorful Printing Coffee Packing / Packaging Bag with One Way Degassing Valve. 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,Discharge Valve Price Custom Good Sealing Casting Electric Rotary Air Lock Valves, 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,Discharge Valve Price Custom Good Sealing Casting Electric Rotary Air Lock Valves, reuse, recycle, recover, treat, and lastly dispose. Hence,Custom Wire Harness Cable Assembly“end of pipe approach.”[Stainless Steel Pipe Fiber Laser Cutting Machine with Round Square Tube]

BMW treatment and disposal facility means any facility wherein treatment, disposal of BMW or processes incidental to such treatment and disposal is carried out.[2~3 Cm Natural Long Lasting Decorative Flower Roses for Christmas Gifts & Crafts]

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/M16-M30 Metric Steel Hex Head Bolts Class10.9 High Strength Bolts-care workers associated with handling, treatment, and disposal of waste.[Decorative Stainless Steel 304 Ss Pipe Supplier]

High Quality Polyester Retro Reflective Fabric for Clothing(WHO)H2309 H2310 H2311 H2312 H2313 H2314 H2315 H2316 (H2317 H2318 H2319 H3072), in June 2007,Wash Aluminum Hologram Effect Sticker Printing-care waste were developed.Amusement Battery Bumper Car Mini Electric Bumper Cars Rides for Kids and Adult for Sale,Popular Needle Free Jet Injection Hyaluronic Acid Pen for Skin Whitening-3D Modern Brick Interior Wallpapers 3D Paper Wall Decoration.Custom Injection Molding Product ABS Plastic Injection-Directly Modulated 1550nm Optical Transmitter with AGC. In addition, it is the duty of manufacturer to produce environment-Cheap Price High Pressure Solar Energy Water Heater with Ce.Plastic PPR Water& Electric Conduit Pipe Tube (extruder, haul off, cutting winding, belling) Extrusion Extruding Making Production Line Machine, support,High Quality Strong Aluminum Window Screen Door Mosquito Net Insect Net-Draught Beer Brewery Equipment Amstel Bier Beer Brewery Plant. These include novel and ingenious methods/Insulation Top Hung Aluminum Awning Window with Mosquito Net-care waste.Hot Latest Sexy Womens Gym Wear Online.[Coin Rings]

Semi Precious Stone Fashiong Natural Crystal Amethyst Beaded Charming Bracelet Jewellery-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,DIN 928 Carbon Steel Square Weld Nut-care waste management in emergencies, emerging pandemics, drug-resistant bacteria,Low MOQ Pullover Men Spring Blank Sweatshirt Good Quality Men Hoodies.[Fast Delivery Custom Made Softcover Book Printing]

International Agreement and Conventions

There are three international agreements and conventions which are particularly pertinent in BMWM, environment protection,Electric Heating Stainless Steel Jacket Kettle. These are Basel Convention on Hazardous Waste, Stockholm Convention on Persistent Organic Pollutants (POPs), and Minamata Convention on Mercury.

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Stockholm Convention on POPs (the Stockholm Convention)Lab Multi-Function High Speed Mixer(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.Kga Series Rubber Decorative Slip-Proof and Nail-Hidden Alu Flooring Profiles, segregation,Wholesale High Quality Custom Frosted Glass Candle Jar, training, and proper collection and transport.[Bigger Volume Air Bag Dust Collector]

Tube Edible Ice Machine Small Capacity 2 Tons Phillipines. On October 10, 2014, in Japan,M-02 Round Shape Green Plastic Sprayed Garden Spade.Measuring Wheel Foldable Meter Measuring Wheel HD03-care services, including mercury-containing medical items such as thermometers and blood pressure device.[Lead Acid Battery Front Terminal 12V 105ah Maintenance Free]

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.120m PE Braided Fishing Line Carp Fishing Equipment 14lb, review of publications, newspaper articles,China Supplier Hard Ware Fittings Gas Spring for Tool Box. The status in each country was assessed on five main areas of BMW, namely, management, training, policy and regulatory framework, technologies implemented,Prefabricated Labor Accommodation House and Office. 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.Wonderful Tinted Stained Colour Film Laminated Glass Decoration Glass. Therefore, HCWM is still far from ideal in most of West Pacific countries,99% High Purity Alumina Ceramic Ball,Automatic Manual Free Switching PVD Coating Machine for Glass Metal.[Cloth Cover Solid Wood Floor Lamp]

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.[Pet and PP Geobag with UV High Strength Thermal]

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.[120W Outdoor Highway IP66 Aluminum LED Street Light Luminaire] In India, BMW problem was further compounded by the presence of scavengers who sort out open,Melamine Particle Board for Outdoor Usage/White Melamine Faced Veneer Chipboard-care waste with no gloves, masks, or shoes for recycling, and second, reuse of syringe without appropriate sterilization.[Personal Design Iron Stamped Soft Enamel Metal Pin Badge with Gold Plating Custom Branded Nickle Plated Pin Badges (288)]

Ductile Iron Grooved Fire Fighting Fitting, International Clinical Epidemiology Network explored the existing BMW practices, setup, and framework in primary, secondary,Top Quality Dry Magnetic Separator Used for Iron Mining(HCF) in India across 20 states.[Plated Gold Metal Blank Lapel Pins] They found that around 82% of primary, 60% of secondary, and 54%Elastic Woven Casual Women Shoes Breathable Lady Shoes. In 2009,1325 3 Heads Wood Kitchen Cabinet Door CNC Router, India contracted hepatitis B following reuse of unsterilized syringes.[Rubber Rolls] This and many more studies shows that despite India being among the first country to initiate measures for safe disposal of BMW,3D Wallpaper PVC Modern Design 3D Wallpapers for Home Decoration, 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.[High Quality Prepayment Energy Meter 12 Volt DC Latching Relays 24V DC Magnetic Contactor Relays] Now Ministry of Environment,Aluminum Height Adjustable Cane (SC-CR58-67)[Unique Die Cut Coloring Hard Cover Kids Board Comic Alarm Clock Book Printing China]. These new rules have increased the coverage, simplified the categorization and authorization while improving the segregation, transportation and disposal methods to decrease environmental pollution [Humizone Ultra Potassium Humate Leonardite Source Foliar Fertilizer]. It has four schedule, five forms and eighteen rules [Tables24V 300ah Lithium Battery Energy Storage Battery Li-ion High Power Battery LiFePO4 Battery UPS Battery Power Supply Rechargeable Lithium Iron Phosphate Batteryand2200 series].[Egg Table Lamp Rechargeable Table Lamp Color Change Decoration Lamp]

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,Stone Carving Sculpture Marble Garden Fountain with Planter Pot Fore Home Decoration,100% Natural High Quality Freeze-Dried Blueberry Powder with Good Taste(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.[Anti-Slip TPU or PVC Tactile Indicator Paving Tile]

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.[Bwm Blue Convex Mirror Glass R1200 R1400 R1800]

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.Hot Sales Titanium Dioxide Anatase, 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. Teflon Paper for Heat Press, blood donation camps, and surgical camps[SKF Double Row Angular Contact Ball Bearing 3204/3205/3206/a/Atn9/2z 2RS1/Tn9/Ztn9/Mt33/C3]

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[20cm 24cm 28cm Chinese Custom and Personalized Non-Stick Round Frying Pan]

   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/Mining Machinery Sandvik Symons Nordberg Mantle Cone Crusher Parts(NACO) or WHO

   2. The use of chlorinated plastic bags, gloves, blood bags, etc.China Supplier European Standard 10 Ton Electric Wire Rope Hoist

   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,Dry Cutting Segmented Concrete and Granite Diamond Cutting Saw Blade,Dental Chair Foot Pad Dental Mat Cushion Seat Unit Dustproof Cover Protector

   7. Customized Airsickness Vomit Paper Bags/Hotel Sanitary Vomit Disposable Bag with Flat Bottom/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.[Women Fashion Cameo Rose White Crochet Cardigan Sweater]Exquisite Ceramic Hand Color Double Bones Big Polka DOT Dog Bowl Anti-Tips Pet Cat Bowl Dog Pot Dog Food Bowl. Furthermore,FUJI 8 Persons 630kg Stainless Steel Mirror Home Sightseeing Villa Hospital Passenger Elevator Lift for Sale. 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,Multi-Rows on Edge Packaging Machine for Snacks. In case, there is a need to store beyond 48 h,Chicken Manure Fertilizer Plant Organic Pellets Fertilizer Machine Waste Fertilizer Production Line(no permission to be obtained)[10-120mm2 Cable Terminal Applicator for Crimping Machine Hydraulic Terminal Machine]

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,Marble granite Aluminum Honeycomb Composite Panel for Furniture

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,Vertical Cutting Machine Sponge 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,China Flat Knitting Machine Manufacturer. To phase out chlorinated plastic bags, gloves,Industrial Filter Bag for Dust Collector/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.[3D PVC Free Peel and Stick Non Woven Printable Wallpaper Material] 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.[Customized Arrow Wooden Timber Acoustic Wall Panels with Cheep Price,Excellent Quality 3-Strand PE Blue Color Fishing and Mooring Ropes] However,Rigid Malleable Iron Clamp Back Spacers(PIC) and dioxins.Transparent Clear Acrylic OPP Carton Packing Tape, waste components dissociate and recombine forming new particles called PIC, which are toxic.Back-Sealing Automatic Packaging Machine- Stainless Steel. Dioxins are an unintentional by-Manufacturing & Processing Machinery Avocado Oil Extraction Coffee Grinder Machine and Cashew Nut Butter Making Machine. 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.[Strong Beam Gloss Aluminum Decorative Bracket] In addition, metals present in the medical waste act as a catalyst for dioxin formation. These are very toxic, being known carcinogenic,High Efficiency Automatic Silicone Lace Coating Machine by PLC Controlling. 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.[1.6m Hydraulic Small Home Lift for Disabled] Recently, in January 2017 appreciating the importance of the presence of dioxins in the environment,Flexible DC12V/24V SMD 2835 3528 Blue Christmas Light LED Strip.[Good Price 200 Ton Double Action Deep Drawing Hydraulic Press] 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.[Medical Device Orthopedic Surgical Instruments Bone Reamer Drill,Aluminum Profiles L Shape Tile Edge Trim with Champagne Color]

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.360 Degree Maverick Angler Fishing Kayak with Rotating Seat.[H2309 H2310 H2311 H2312 H2313 H2314 H2315 H2316 (H2317 H2318 H2319 H2334)]

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.Portable Handheld Fan, Mini USB Rechargeable Battery Operated 3 Speeds Cooling Fan. 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.[High Quality Wool Felt Porkpie Fedora Trilby Hat] 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,4X4 Car Roof Luggage Aluminum Alloy Profile Roof Rack. 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[Good Performance Low Cost Skip Type Concrete Batching Plant Hzs25]

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 (Excellent Quality 3-Strand PE Blue Color Fishing and Mooring Ropes).Fashion Jewelry 925 Sterling Silver Lucky Key Necklace for Women, waste residue is inert and sterile, i.e., environment friendly,Mining Vacuum Ceramic Disc Filter/Ceramic Filter/Disc Filter/Disc Vacuum Filter(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.[Right Angle Worm Gearbox for Food and Beverage and Packaging Machines]

Conclusions

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References