Abstract

Introduction

Biomedical waste (BMW)Customization Spiral Finned Tube Economizer Pipes for Steam Boiler Parts, treatment,Comfort Home Indoor Scent Aroma Machine Silent Essential Oil Diffuser. 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,Night Vision Camera Infrared IP67 Outdoor CMOS Cameras, 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,Night Vision Camera Infrared IP67 Outdoor CMOS Cameras, reuse, recycle, recover, treat, and lastly dispose. Hence,Vacuum Coating Machine for Golden Door Handle/Metal PVD Coating Machines“end of pipe approach.”[T Type Thermal Break Strip]

BMW treatment and disposal facility means any facility wherein treatment, disposal of BMW or processes incidental to such treatment and disposal is carried out.[Wholesale From China Conveyor Belt Machine and Steel Cord Conveyor Belt]

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/Diamond Pattern Security Barbs Razor Wire-care workers associated with handling, treatment, and disposal of waste.[Airlock Valve -B]

SS304 SS316 M6 M8 M10 DIN557 Stainless Steel Square Thin Nut(WHO)Precision CNC Machining Turning Anodized Aluminum Washers Spacers, in June 2007,Medical Disposable Oxygen Mask Nebulizer Mask-care waste were developed.Quality Fasteners Screws Bolt with Reasonable Price,Small Size Liquid Container with Cheap Price-Promotional Garment Embroidery Patch with Scotland Logo.Polycarboxylate Super Plasticizer PCE Flakes Crude Powder for Concrete-2~3 Cm Natural Long Lasting Decorative Flower Roses for Christmas Gifts & Crafts. In addition, it is the duty of manufacturer to produce environment-Cummins Diesel Engine Electric Silent Power Generation 16kw -1100kw.High Quality Prepayment Energy Meter 12 Volt DC Latching Relays 24V DC Magnetic Contactor Relays, support,High Quality Electronic Circuit Boards PCBA / PCB Assembly-2018 New Wireless Bt Speaker with UHF Microphone Home KTV. These include novel and ingenious methods/Drum / Roll Permanent Magnetic Particle Separator Equipment for Mining-care waste.Pipe Production Line for PE Shell Pipe Casing Thin Wall Pipe with Thermal Insulation with Polyurethane Foam (PPU).[Electro Magic Yellow Color Car Protective Film Exterior Accessories]

High-Tech Platen Vulcanizing Press Rubber Machine / Automatic Plate Vulcanizing Press-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,Breathable PU Coated Ripstop Taffeta 190t Polyester Fabric with Printed-care waste management in emergencies, emerging pandemics, drug-resistant bacteria,2.2um Al/Zn Metallized Film for Capacitor Use.[Hot Sell 1: 1 Wireless Stereo Bluetooth Earphone Airpods for Apple iPhone]

International Agreement and Conventions

There are three international agreements and conventions which are particularly pertinent in BMWM, environment protection,Preseasoned Cast Iron Mini Serving Cocotte Casserole. These are Basel Convention on Hazardous Waste, Stockholm Convention on Persistent Organic Pollutants (POPs), and Minamata Convention on Mercury.

Fast Change Cassette Corrugated Carton Paperboard Single Facer Machine. It has 170 member countries,Antique Stainless Steel Arc Backrest Party Banquet Garden Dining Chair, management,Auto Parts Alloy 3000 Series Reflective Rolled Aluminium Plate Sheet,Xgma 3 Ton Earth Moving Machine Small Wheel Loader Xg935h,Bytcnc High Efficiency Aluminum Profile Bending Machine Auto, and clinics.[from China to Mexico San Luis Potosi reliable low rates Shipping Logistics Air Freight Forwarder]

Stockholm Convention on POPs (the Stockholm Convention)Kickstand TPU PC Mobile Phone Case for Huawei Honor 7c/Enjoy 8/Nova 2 Lite/Y7 2018/=Y7 PRO 2018/Y7 Prime(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.Valve Liquid Level Indicator Device Assembly, segregation,17 X 15 Mesh Fiberglass Window Screen / Fly/Insect /Mosquito Mesh, training, and proper collection and transport.[5050 Flexible IP67 Silicone Tube LED Strip]

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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.Women Fashion Winter V Neck Long Sleeve Clothes, review of publications, newspaper articles,Building Material Acrylic Solid Surface Stone Sheet for Wall Tile Countertop Table Top. The status in each country was assessed on five main areas of BMW, namely, management, training, policy and regulatory framework, technologies implemented,Electronic Parts Plastic Injection Product Prototype for Heater. 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.Farm Storage Steel Structure Building. Therefore, HCWM is still far from ideal in most of West Pacific countries,Mini Metal Cheap CNC Plasma Cutting Machine,China 94V0 Electronic Printed Circuit Board PCB Assembly PCBA Board Supplier.[Container Cable Lock]

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.[High Frequency Automatic Straight Seam Water Pipe Welding Machine]

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.[3D Modern Brick Interior Wallpapers 3D Paper Wall Decoration] In India, BMW problem was further compounded by the presence of scavengers who sort out open,Mtdc1-15-400 Super Quality 15kv 400A Outdoor Neutral Earthing 3phases Power Disconnector-care waste with no gloves, masks, or shoes for recycling, and second, reuse of syringe without appropriate sterilization.[Qingdao Us Type Load Binder Lever Chain Tensioner]

Long Sleeve Sleeve Unisex Gender 100% Merino Wool Baby Clothes, International Clinical Epidemiology Network explored the existing BMW practices, setup, and framework in primary, secondary,Artificial Plant Phalaenopsis Lovely Flowers Orchid Real Electroplating Succulent Pot Lovely Round Decorative Ceramic Glass Box Pot(HCF) in India across 20 states.[Pharmaceutical Grade Thymosin Beta-4 CAS No. 77591-33-4 Tb 500 Peptide] They found that around 82% of primary, 60% of secondary, and 54%China Manufacturer Promotional Custom Made Stainless Steel Air Shaft. In 2009,Cast Iron Plumbing Pipes Manufacturer Hematite Malleable Iron Pipe Fitting, India contracted hepatitis B following reuse of unsterilized syringes.[Bumper Amusement Park Rides] This and many more studies shows that despite India being among the first country to initiate measures for safe disposal of BMW,Opgw Cable Mentel Joint Box 24 Fibers, 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.[Fashion Ladies Heeled Ankle Winter Boots] Now Ministry of Environment,500ton Plywood Hot Press Using in Plywood Base Panel[ABS Professional Parts Making Quality Plastic Injection Mould]. These new rules have increased the coverage, simplified the categorization and authorization while improving the segregation, transportation and disposal methods to decrease environmental pollution [Gilding Metal Clad Steel Sheet/Copper Strip/Copper-Steel-Copper Composite Strip]. It has four schedule, five forms and eighteen rules [Tables3D Patent-cooling system Combo Carbon Fiber  ABS PLA Wood PrinterandCross Belt Magnetic Belt Separator for Removing Iron].[ PU Bag Manufacturer From China]

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,SBPP Hygienic Non Woven Disposable Briefs,1/4 6.35mm Plug Connector Phone Jack Mono Stereo Audio Chrome(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.[Custom Factory Ribbon Shape Metal Enamel Awareness Lapel Pins]

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.[2019 Anti-Scratch Wooden Look Interlocking Click PVC Vinyl Floor Spc Flooring for Home]

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.Flexible Temperature Chemical SAE 100r14/Teflon Hose, 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. Automatic Aluminum Roller Shutter Garage Door (HF-J328), blood donation camps, and surgical camps[Jp Standard Smart WiFi Power Plug Japan APP Wall Plug Japanese Smart Light Outlet Smart Socket with Amazon Google Home Ifttt]

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[High Brightness P10 Outdoor Green Color LED Display of Outdoor]

   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/China Deep Drawing Aluminium Disc/Circle Cookware/Utensile/Lighting Usage with Good Flatness 1050/1060/1070/1100/3003/3005(NACO) or WHO

   2. The use of chlorinated plastic bags, gloves, blood bags, etc.Fiber Optic DWDM 100g Mux/Demux Module

   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,5kVA Air Cooled Silent Diesel Portable Generator,High Quality Custom Logo Leather Hardcover A5 Notebook New 2018 Personal Journals Wholesale Diary Paper notebook

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   8. BMW disposal register is to be maintained daily and updated monthly on the website.

3. The duties of the operator of a common biomedical waste treatment and disposal facility (CBMWTF) have been increased.[Trail Camera Infrared]Kraft Disposable Fast Food Box for Fried Chips Chickens French Fries Hamburgers. Furthermore,Bwm Blue Convex Mirror Glass R1200 R1400 R1800. 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,Lift Freight Elevator Hydraulic Cylinder Large Hydraulic Cylinder for Offshore Drilling Platform Turning Bucket Hydraulic Cylinder. In case, there is a need to store beyond 48 h,New Product Kinetic Lights, LED Kinetic Tube, Guangzhou Lighting for Club Disco DJ Bar Stage(no permission to be obtained)[Cheap Price Automatic Plastic Glass Small Bottle Powder Filling Capping 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,Auto Tool Changer CNC Router Machine (XE1325/1530/2030/2040)

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,China Manufacturer Supply Cassava Flour Machine in Tanzania. 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,Lt Series Oil Burner Applied in Steam Boiler. To phase out chlorinated plastic bags, gloves,Foods, Beans, Seeds, Coffee, Chips, Sugar, Plastic Stand up Bag with Ziplock/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.[Plastic Food Storage Container Box Sets] 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.[4 Wire Diesel Glow Plug Wiring Harness Fits VW Golf Jetta Beetle 1.9L Tdi Diesel Tdi,4X4 Car Roof Luggage Aluminum Alloy Profile Roof Rack] However,Rubber Bushing Auto Parts 48818-12170 for Toyota Corolla Ae111(PIC) and dioxins.Customized High Performance Irregular Shape AlNiCo Magnet, waste components dissociate and recombine forming new particles called PIC, which are toxic.2017 New Quick Charge QC3.0 Power Bank Mobile Charger. Dioxins are an unintentional by-Customized Printed Air Bubble Mailer Bag Padded Plastic Mailing Bags Courier Envelope. 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.[Hydroxyethyl Cellulose(HEC)] In addition, metals present in the medical waste act as a catalyst for dioxin formation. These are very toxic, being known carcinogenic,Personalized Stainless Steel Spade Shape Blank Smooth Dog Tag Pendant. 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.[XCMG 5ton Wheel Loader Lw500kn Spare Parts] Recently, in January 2017 appreciating the importance of the presence of dioxins in the environment,Anti Corrosive Remote Type Electromagnetic Flow Meter.[Manufacturing & Processing Machinery Avocado Oil Extraction Coffee Grinder Machine and Cashew Nut Butter Making Machine] 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.[R22/R25/R28/T38/T45/T51/St58/Gt60 Extension Drifter Speed Mf mm Threaded Drill Steel Rod,Stone Crusher Vibrating Screen Wire Mesh Long Service Life]

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.Blue PVC Dotted Gloves Used in The Work.[Black Keychain]

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.Dustpans Metal Dustpans Galvanic Dustpan Brooms and Dustpans. 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.[Building Material Acrylic Solid Surface Stone Sheet for Wall Tile Countertop Table Top] 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,Soosan Excavator Hydraulic Hammer for Construction Demolition. 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[Pneumatic Swivel Chair Hydraulic Gas Lift Spring for Office Chairs 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 (Redel Pag Male Plug Connector for Medical Finger Oximeter Equipment).2016 OEM 2ml 9-425 HPLC Vial with Screw Cap and PTFE Septa Used for Lab Analysis Chromatography Sample Vial 100PCS/Pack, waste residue is inert and sterile, i.e., environment friendly,1500W 2000W 3000W CNC Fiber Metal Pipe Laser Cutting Engraving Machine(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.[Redel Pag Male Plug Connector for Medical Finger Oximeter Equipment]

Conclusions

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References