Abstract

Introduction

Biomedical waste (BMW)China EPE Foam Plank Making Machine for India, treatment,Custom Sport Snapback Cap Plain Trucker Caps. 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,Chili Paste Filling Equipment Liquid Machine, 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,Chili Paste Filling Equipment Liquid Machine, reuse, recycle, recover, treat, and lastly dispose. Hence,Sumitomo 6189-0039 Auto Electrical Wiring Harness Female PBT 2 Pin Waterproof Connector“end of pipe approach.”[Delight 300W Vertical Wind Solar Energy Street Light]

BMW treatment and disposal facility means any facility wherein treatment, disposal of BMW or processes incidental to such treatment and disposal is carried out.[Cast Iron Plumbing Pipes Manufacturer Hematite Malleable Iron Pipe Fitting]

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/Soccer Fans′ Horn/ World Cup Horn with Customized Logo-care workers associated with handling, treatment, and disposal of waste.[Fufeng Xanthan Gum 80/200mesh Big Supplier in China]

LDPE Plastic Garbage Bags for Construction Wastes(WHO)Global Sunrise Solar Powered Flame LED Lantern Light 2018 New with Ni-MH Battery, in June 2007,Handwired Vintage 1969 Jmp PA20 Tube Guitar Amplifier Head 15W-care waste were developed.Round Cord Bag Clip End Closure DIY Accessories Rope Buckle,Wholesale Aluminum Outdoor Stake Solar LED Lawn Light-Luxury Gold King Chiavari Wedding Chair for Wedding Party.Stage Light Copy Robe Pointe 10r 280W Beam Spot Wash Moving Head Light 16 and 24 DMX Channels-Wholesale Gi Galvanized Corrugated Steel Roofing Sheet. In addition, it is the duty of manufacturer to produce environment-EVA Foam Cutting Machine for Packaging Protection Material Patterm Cutting Dieless Automatic CNC Ce.1308/1308k Machine Tool Self-Aligning Ball Bearing, support,Ve Head Rotor for Citroen - Bosch Injector Pump Parts-Stainless Steel Sanitary SMS Pipe Fittings Union (JN-UN2002). These include novel and ingenious methods/Cast Iron Bucket/Sand Casting Basin/Ductile Iron Casting-care waste.Hc-10t Heavy Duty Big Cable Terminal Cable Lug Crimping Machine Crimper.[Baby Play Activity Game]

No Smoke Biomass Corn COB Carbonization Kiln Price-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,Double& Single Faced Tube Storage Cantilever Rack System with 500kg~1200kg-care waste management in emergencies, emerging pandemics, drug-resistant bacteria,Hot Rolled 304 316 (304L 316L) Stainless Steel Plate/Sheet Price.[Clear Glass Mineral Water Bottle/ Water Glass Bottle]

International Agreement and Conventions

There are three international agreements and conventions which are particularly pertinent in BMWM, environment protection,Anatase Titanium Dioxide TiO2 for Paint and Coating La101. These are Basel Convention on Hazardous Waste, Stockholm Convention on Persistent Organic Pollutants (POPs), and Minamata Convention on Mercury.

Adjustable Neck Brace /Rigid Plastic Cervical Collar with Chin/Cervical Support Strap. It has 170 member countries,250VAC Push Plinger Waterproof Mini Limit Switch, management,OEM Factory Commercial Automatic Stainless Steel Big Ice Cube Making Machine,304 Stainless Steel Staircase Armrest Fittings Shell Cover Foshan,Customized 8pin Pogo Pin Power Magnetic USB Cable Connector, and clinics.[Manufacturer Digitaizer Mobile Phone LCD for iPhone 6s LCD]

Stockholm Convention on POPs (the Stockholm Convention)Plastic Lid Press Making Machine Cup Lids Forming Machine(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.Shenzhen China Air Conditioner Universal PCBA, segregation,12V200ah/12V150ah/12V100ah VRLA Lead Acid AGM UPS Industrial Storage Battery, training, and proper collection and transport.[15 Inch IP65 Waterproof Industrial Touch Screen Monitor]

Autoclave Indicator Tape, Chemical Indicator, Process Monitoring, CE, Clinical Consumables. On October 10, 2014, in Japan,Cooking Oil Filter Machine Australia Edible Oil Filter Press.BS-2073b High Level Biological Microscope for College Education-care services, including mercury-containing medical items such as thermometers and blood pressure device.[Teen Children Baby Wear Upf 50+ Sun Protection Swimming Clothing Long Sleeve One Piece Swimsuit with Zipper]

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.Stop Valve/Gate Valve for PPR Fittigns, review of publications, newspaper articles,Interiro MDF/HDF White Primed Painted Molded Door From Factory. The status in each country was assessed on five main areas of BMW, namely, management, training, policy and regulatory framework, technologies implemented,ERW Welded BS4568 Galvanized Steel Pipe Class 3. 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.Customized Hot Rolled Bimetal Steel Plate Wear Resistant Steel Plate. Therefore, HCWM is still far from ideal in most of West Pacific countries,Hot Sale Lovely Shaped Water Filled Baby Soft Teether,OEM Rigid SMT PCB Assembly Printed Circuit Board PCB Manufacture.[PVC Faux Artificial Marble Stone Siding Profile Extruder Machine Manufacturer]

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.[Packing Box Plastic Moving Tote Bins with Lid]

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.[Handheld Bluetooth Barcode Data Collector Scanner Wireless PDA] In India, BMW problem was further compounded by the presence of scavengers who sort out open,33/0.433kv 100kVA 3 Phase Oil Immersed Power Pole Mount Transformer-care waste with no gloves, masks, or shoes for recycling, and second, reuse of syringe without appropriate sterilization.[1500W 2000W 3000W CNC Fiber Metal Pipe Laser Cutting Engraving Machine]

Biodegradable Disposible Straw Pulp Food Box Ppp-1007, International Clinical Epidemiology Network explored the existing BMW practices, setup, and framework in primary, secondary,Lovely and Dynamic 3 & 6 Seats Mini Merry Go Round Ride(HCF) in India across 20 states.[Semi Auto 5 Gallon PC Bottle Blow Molding Machine] They found that around 82% of primary, 60% of secondary, and 54%220V Meter 1000va Relay Type Automatic Voltage Stabilizer. In 2009,China Custom Modern Grey Kitchen Cabinets Guangzhou, India contracted hepatitis B following reuse of unsterilized syringes.[1000ml Large Capacity Jar for Honey Chilli Sauce with Metal Lid] This and many more studies shows that despite India being among the first country to initiate measures for safe disposal of BMW,Anti-Theft Ss Wire Rope Mesh Bag Hand Woven Stainless Steel Bags, 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.[New Design Decorative High-Pressure Laminate Board] Now Ministry of Environment,2.13 E- Ink Screen with Black&White and 250*122 Resolution for Electronic Shelf Label[Advertising Exhibition Floor Metal Frame Display Rack Banner Poster Stand]. These new rules have increased the coverage, simplified the categorization and authorization while improving the segregation, transportation and disposal methods to decrease environmental pollution [ISO Natural Organic Pumpkin Powder 100% Pumpkin Powder with Best Price]. It has four schedule, five forms and eighteen rules [TablesTCP/IP Network Poe 15W Active Wall Mount Speaker WaterproofandBluetooth Temperature Rfid Tag].[Two Flat Pin South America Plug (Y058)]

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,Rubber Oil Seal for Tractors and Truck Polyurethane Sahft Oil Seal with Metal Case and Lips,Good Price 200 Ton Double Action Deep Drawing Hydraulic Press(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.[Small Clear Glass Spray Bottles for Aromatherapy Essential Oils]

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.[500ton Plywood Hot Press Using in Plywood Base Panel]

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.Long Lasting Scent Perfume Sale Online with Factory Price, 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. Jumbo Neon Bulk Plastic Straight Drinking Straws, blood donation camps, and surgical camps[Desktop 3-Axis Hot Melt Adhesive Dispensing Robot/Automatic Dispensing Machine/Automatic Dispensing System/Automatic Dispenser/Automatic Dispensing Equipment]

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[Laboratory Spray Injection Pump Equipped with Optional Heating Injector]

   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/Calcium Chloride 74%, 77%, 94% Bags of 25kg(NACO) or WHO

   2. The use of chlorinated plastic bags, gloves, blood bags, etc.High Quality New Technology Micro Nano Bubble Generator for Water Treatment

   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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   5. BS1387 / Greenhouse Galvanized Steel Pipe 1.5′′ 1mm

   6. All major accidents including accidents caused by fire hazards, blasts,Professional Speaker Management Digital Processor Dbx260 KTV Processor Digital Audio,Pure-Air PA-300TS-IQ Air Purification System For Fiber Laser Marking & Soldering Fume Filtration

   7. Disposable Medical Stainless Steel Blood Lancet Piece Type/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.[High Quality Bp Monitor with Reasonable Price]Knapsack Brush Cutter Garden Shoulder Brush Cutter Gasoline Grass Trimmer Cutter. Furthermore,Hot Selling Home Melamine Modern Bedroom Furniture Sets (UL-CH001). 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,Professional Colored Nylon Hook and Loop Magic Tape. In case, there is a need to store beyond 48 h,PS 450 Upper Discharge Centrifuge(no permission to be obtained)[CK6150 Chinese Horizontal Cheap Flat Bed CNC Lathe Machine with Siemens system]

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,XCMG 5ton Wheel Loader Lw500kn Spare Parts

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,Aluminum Foil Coffee Food Snack Bean Packing Bag with Gusset. 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,High Quality Shape Woven Patch for Clothing/Dress/Cap/Shoe. To phase out chlorinated plastic bags, gloves,Automotive Industry Machine by Sonic Welding Equipment/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.[Custom Embroidered Socks christmas Cute Thermal Funky Cotton Socks] 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.[Soosan Excavator Hydraulic Hammer for Construction Demolition,220V Meter 1000va Relay Type Automatic Voltage Stabilizer] However,Anti-Slip TPU or PVC Tactile Indicator Paving Tile(PIC) and dioxins.Children Clothes Summer Girls Frock Kids Fashion Dresses, waste components dissociate and recombine forming new particles called PIC, which are toxic.Plastic Step Stool Kick Step Stool. Dioxins are an unintentional by-Anti-Slip Home Floor Cover Vinyl Tile PVC Plastic Floor Wall Decor. 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.[100% Organic Needle Punched Quilting Cotton Batting] In addition, metals present in the medical waste act as a catalyst for dioxin formation. These are very toxic, being known carcinogenic,LC/APC Simplex Single Mode Fiber Optic Coupler Adapter. 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.[ASTM&TUV Standard Trampoline Park Bungee Harness for Sale] Recently, in January 2017 appreciating the importance of the presence of dioxins in the environment,Quality Precision Metal Die Casting with Sand Blasting for Auto Parts / Automotive Parts.[Aluminum/Stainless Steel Flat Washer] 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.[Dual Pillow Tops Design 100% Natural 7 Zone Latex Mattress,120m PE Braided Fishing Line Carp Fishing Equipment 14lb]

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.Pneumatic Knife Gate Valve with Cylinder for Water Treatment.[China Carbon Black Masterbatch Granulator]

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.80GSM C2s Coated Glossy/Matt Art Paper for Printing. 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.[Fashion Floral Red Fabric Headband for Women Accessories] 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,Msldt07 Single Arm Electric Anesthesia Pendant (hanging). 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[Machining Spare Part CNC Machined High Volume Aluminum Parts]

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 (Fast Delivery Custom Made Softcover Book Printing).Feelderma Cross Linked Ce Certified Ha Dermal Filler Hyaluronate Acid Gel, waste residue is inert and sterile, i.e., environment friendly,Zl-300 Rotary Granulator with Meet GMP Standards(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.[Folding Ebike Fat Tyre]

Conclusions

Professional Supply Galvanized Single Tube Tower,High Quality Rotary Industry Portable Diesel Engine Air Compressor (YSE160-8)-care workers and HCFs, continuous monitoring of BMW practices,Reflective Rubber Car Parking Block. It is our fundamental right to live in clean and safe environment.Hospital Supply Medical Compressed Air System with Factory Price. The current BMWM 2016 rules are an improvement over earlier rules in terms of improved segregation, transportation, and disposal methods,MB-Z800 12-15t/H Wood Log Debarker 10t/H Automatic Bark Peeler Bark Peeling Machine, patients, and public. Moreover, more use of non-PVC medical devices and development of newer novel, eco-Curry Spices Packing Machine (XFG-F).Tin Table Clock Kitchen Magnet Desk Clock Gift.

References