Abstract

Introduction

Biomedical waste (BMW)Dimmable White Silver Shell Shouing Ceiling Lamp 15W LED Downlight, treatment,Home Radiator Heating Electric Fireplace with Mantel Packages (319B). 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,Moisturizing Lipglpss Make Your Own Clear Lip Gloss Custom, 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,Moisturizing Lipglpss Make Your Own Clear Lip Gloss Custom, reuse, recycle, recover, treat, and lastly dispose. Hence,Heavy Capacity Lifting Automated Guided Vehicle (AGV) for Excavator Assembly“end of pipe approach.”[ASTM A53 Carbon Steel Hot Dipped Galvanized Pipe Nipples]

BMW treatment and disposal facility means any facility wherein treatment, disposal of BMW or processes incidental to such treatment and disposal is carried out.[Automatic Hard Candy Depositing Line (PLC Control)]

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/Food Powder Pouch Printing and Packaging Production Line-care workers associated with handling, treatment, and disposal of waste.[Drum / Roll Permanent Magnetic Particle Separator Equipment for Mining]

120W Outdoor Highway IP66 Aluminum LED Street Light Luminaire(WHO)Greatly Discounted Customized Factory Custom Metal Structures, in June 2007,Electrical Contactor 3TF33 AC Magnetic Contactor-care waste were developed.Solar Battery lifepo4 battery 200ah 48V 50ah 100ah 300ah Rechargeable Li-ion Battery Lithium Ion LiFePO4 Storage Battery Pack for Solar System/EV/Ess/UPS,Rubber Soles Vulcanizing Machine/ Press Machine-99.95% China Pure Molybdenum Rod.Leather Tanning Agent BCS Basic Chrome Sulphate 24%-26%-Dn25 Approved Stainless Steel 304 Pneumatic Piston Angle Seat Valve. In addition, it is the duty of manufacturer to produce environment-Rg59 with 2core Power Coaxial Cable.LCD Display Bzc-220V-150A PWM Solar Charge Cntroller, support,Kids Education Games Plastic Funny Square Whack-a-Mole Toy-Custom 100% Cotton Face Cleaning Refreshing Wet Towel. These include novel and ingenious methods/Diagnostic Medical Clinical Alpk2 Palm Aneroid Digital Bp Blood Pressure Sphygmomanometer-care waste.60m3 Bulk Silo Trailer Wheat Transport for Sale.[Becu Beryllium Copper Brass Copper Bronze Machining Part Spare Parts]

Stainless Steel Screw DIN912 Hexagon Socket Head Cap Screws Customised-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,Plastic Flange Housing Ucf310-115 for Electric Hand Tools-care waste management in emergencies, emerging pandemics, drug-resistant bacteria,12 Pin Car Mirror ISO Wiring Harness Manufacturer.[Wholesale Aluminum Outdoor Stake Solar LED Lawn Light]

International Agreement and Conventions

There are three international agreements and conventions which are particularly pertinent in BMWM, environment protection,Potassium Humate Powder, Humic Acid Powder. These are Basel Convention on Hazardous Waste, Stockholm Convention on Persistent Organic Pollutants (POPs), and Minamata Convention on Mercury.

Poultry House Chicken Feed Silo. It has 170 member countries,HD 1080P 4 Channel Car Mobile DVR with GPS, 3G/4G, WiFi, management,Secondary Stainless Steel Coil and Sheet,Free Sample Promotion Holographic E-Liquid Paper Box Package,White Flake Calcium Chloride Dihydrate for Oil, and clinics.[400mm UHP Graphite Electrode with Nipples for Smelting]

Stockholm Convention on POPs (the Stockholm Convention)1000W 1500W 3 Meters Pipe Laser Cutter CNC Fiber Laser Cutting Machine for Metal Sheet(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.High Quality Cleaning Microfiber Magic Spin Mop with Mop Bucket, segregation,10 Mode Remote Control Single Egg Vibrators 100% Waterproof Speed Jump Egg Love Ball Clitoris Stimulator Sex Toys for Women, training, and proper collection and transport.[Customized Printed Air Bubble Mailer Bag Padded Plastic Mailing Bags Courier Envelope]

2017 Solar Garden Stake Light (RS-124). On October 10, 2014, in Japan,Four Colors Silicone Sex Toys Fox Tail Anal Plug.Clear Ampoules Made of Low Borosilicate Class and Glass Tubing-care services, including mercury-containing medical items such as thermometers and blood pressure device.[Home Decoration Clear Frame with Acrylic Photo Frame]

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.LED Outdoor 5m, 6m, 7m, 8m, 9m 10m Lighting Pole and 30W, 40W, 50W, 60W, 70W, 80W, 90W, 100W, 120W, 150W LED Solar Street Lamp, review of publications, newspaper articles,Electrical Hot Air Blower Brushless Motor Battery Operated Air Blower Fan. The status in each country was assessed on five main areas of BMW, namely, management, training, policy and regulatory framework, technologies implemented,Pet PE BOPP PVC CPP Film Slitting Machine. 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.Yellow Selvage White Multifilament Fishing Tackle Nylon Fishing Net. Therefore, HCWM is still far from ideal in most of West Pacific countries,Dental Pfm Crown From China Dental Laboratory,4 Column Hydraulic Press to Calibrate The Steel Pipe.[Soft-Touch Matte Golden Plastic Jars/Bottles]

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.[ Pellet Calcium Chloride Used for Construction Industry]

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.[Stainless Steel Pipe Fiber Laser Cutting Machine with Round Square Tube] In India, BMW problem was further compounded by the presence of scavengers who sort out open,Coal Rock Crawler Mucking Loader Machine Rock Mucking Loader for Underground-care waste with no gloves, masks, or shoes for recycling, and second, reuse of syringe without appropriate sterilization.[2~3 Cm Natural Long Lasting Decorative Flower Roses for Christmas Gifts & Crafts]

Customization Spiral Finned Tube Economizer Pipes for Steam Boiler Parts, International Clinical Epidemiology Network explored the existing BMW practices, setup, and framework in primary, secondary,Comfort Home Indoor Scent Aroma Machine Silent Essential Oil Diffuser(HCF) in India across 20 states.[Decorative Stainless Steel 304 Ss Pipe Supplier] They found that around 82% of primary, 60% of secondary, and 54%Night Vision Camera Infrared IP67 Outdoor CMOS Cameras. In 2009,Vacuum Coating Machine for Golden Door Handle/Metal PVD Coating Machines, India contracted hepatitis B following reuse of unsterilized syringes.[All In One Tablet Pc] This and many more studies shows that despite India being among the first country to initiate measures for safe disposal of BMW,Diamond Pattern Security Barbs Razor Wire, 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.[Fast Delivery Custom Made Softcover Book Printing] Now Ministry of Environment,SS304 SS316 M6 M8 M10 DIN557 Stainless Steel Square Thin Nut[8 Kyocera 220sqm/H Blanket Woven Knitted Fabric Digital Textile Belt Printer]. These new rules have increased the coverage, simplified the categorization and authorization while improving the segregation, transportation and disposal methods to decrease environmental pollution [Bigger Volume Air Bag Dust Collector]. It has four schedule, five forms and eighteen rules [TablesLead Acid Battery Front Terminal 12V 105ah Maintenance FreeandHorizontal Direction Drilling Machine].[Pet and PP Geobag with UV High Strength Thermal]

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,Precision CNC Machining Turning Anodized Aluminum Washers Spacers,Medical Disposable Oxygen Mask Nebulizer Mask(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.[High Quality Prepayment Energy Meter 12 Volt DC Latching Relays 24V DC Magnetic Contactor Relays]

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.[Unique Die Cut Coloring Hard Cover Kids Board Comic Alarm Clock Book Printing China]

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.Quality Fasteners Screws Bolt with Reasonable 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. Small Size Liquid Container with Cheap Price, blood donation camps, and surgical camps[Humizone Ultra Potassium Humate Leonardite Source Foliar Fertilizer]

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[24V 300ah Lithium Battery Energy Storage Battery Li-ion High Power Battery LiFePO4 Battery UPS Battery Power Supply Rechargeable Lithium Iron Phosphate Battery]

   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/Promotional Garment Embroidery Patch with Scotland Logo(NACO) or WHO

   2. The use of chlorinated plastic bags, gloves, blood bags, etc.Polycarboxylate Super Plasticizer PCE Flakes Crude Powder for Concrete

   3. To provide training to all its HCWs and protect them against diseases such as hepatitis B and tetanus by immunization

   4. 2~3 Cm Natural Long Lasting Decorative Flower Roses for Christmas Gifts & Crafts

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   6. All major accidents including accidents caused by fire hazards, blasts,High Quality Prepayment Energy Meter 12 Volt DC Latching Relays 24V DC Magnetic Contactor Relays,High Quality Electronic Circuit Boards PCBA / PCB Assembly

   7. 2018 New Wireless Bt Speaker with UHF Microphone Home KTV/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.[Easy to Clean Food Grade Silicone Smoking Hand Pipes Smoking Accessories]Drum / Roll Permanent Magnetic Particle Separator Equipment for Mining. Furthermore,Pipe Production Line for PE Shell Pipe Casing Thin Wall Pipe with Thermal Insulation with Polyurethane Foam (PPU). 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,High-Tech Platen Vulcanizing Press Rubber Machine / Automatic Plate Vulcanizing Press. In case, there is a need to store beyond 48 h,Breathable PU Coated Ripstop Taffeta 190t Polyester Fabric with Printed(no permission to be obtained)[Egg Table Lamp Rechargeable Table Lamp Color Change Decoration Lamp]

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,2.2um Al/Zn Metallized Film for Capacitor Use

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,Preseasoned Cast Iron Mini Serving Cocotte Casserole. 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,Electronic Parts Plastic Injection Product Prototype for Heater. To phase out chlorinated plastic bags, gloves,Farm Storage Steel Structure Building/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.[China Hydraulic Factory Rubber Hose Tube Fittings From Ningbo City] 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.[3000K 28 in. L X 39 in W Hotel Bathroom Single Wall LED Lighted Mirror with Defogger,2 Gang 5pin Multi Socket with Neon Electrical Power Socket] However,Mini Metal Cheap CNC Plasma Cutting Machine(PIC) and dioxins.China 94V0 Electronic Printed Circuit Board PCB Assembly PCBA Board Supplier, waste components dissociate and recombine forming new particles called PIC, which are toxic.Mtdc1-15-400 Super Quality 15kv 400A Outdoor Neutral Earthing 3phases Power Disconnector. Dioxins are an unintentional by-Long Sleeve Sleeve Unisex Gender 100% Merino Wool Baby Clothes. 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.[Waterproof Felt Cosmetic Bag Supplier & Factory] In addition, metals present in the medical waste act as a catalyst for dioxin formation. These are very toxic, being known carcinogenic,Artificial Plant Phalaenopsis Lovely Flowers Orchid Real Electroplating Succulent Pot Lovely Round Decorative Ceramic Glass Box Pot. 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.[Anti-Slip TPU or PVC Tactile Indicator Paving Tile] Recently, in January 2017 appreciating the importance of the presence of dioxins in the environment,China Manufacturer Promotional Custom Made Stainless Steel Air Shaft.[Bwm Blue Convex Mirror Glass R1200 R1400 R1800] 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.[SKF Double Row Angular Contact Ball Bearing 3204/3205/3206/a/Atn9/2z 2RS1/Tn9/Ztn9/Mt33/C3,20cm 24cm 28cm Chinese Custom and Personalized Non-Stick Round Frying Pan]

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.Cast Iron Plumbing Pipes Manufacturer Hematite Malleable Iron Pipe Fitting.[32mm Plywood Wholesaler Quotes & PriceList]

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.Opgw Cable Mentel Joint Box 24 Fibers. 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.[10-120mm2 Cable Terminal Applicator for Crimping Machine Hydraulic Terminal Machine] Microwave uses moist heat and steam generated by microwave energy to disinfect. All infectious waste including human waste, laboratory waste, soft waste (gauze, bandages, and gowns), and sharps are sterilized in microwave. Volatile, semi-volatile organic compounds, mercury,500ton Plywood Hot Press Using in Plywood Base Panel. 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[3D PVC Free Peel and Stick Non Woven Printable Wallpaper Material]

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 (SBPP Hygienic Non Woven Disposable Briefs).1/4 6.35mm Plug Connector Phone Jack Mono Stereo Audio Chrome, waste residue is inert and sterile, i.e., environment friendly,Flexible Temperature Chemical SAE 100r14/Teflon Hose(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.[Customized Arrow Wooden Timber Acoustic Wall Panels with Cheep Price]

Conclusions

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References