Abstract

Introduction

Biomedical waste (BMW)Low Front Open Front Multideck Refrigerator Open Face Cooler, treatment,Rammer 1322 555 Scaler Hydraulic Breaker Seal Kit for Rammer 1322 555 Scaler Hydraulic Hammer Repair Kit. 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,Diamond Circular Granite Saw Blades for Masonry Cutting, 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,Diamond Circular Granite Saw Blades for Masonry Cutting, reuse, recycle, recover, treat, and lastly dispose. Hence,China OEM Customized Household Appliance Fan Molding Humidifier Plastic Injection Mold Mould Maker“end of pipe approach.”[Outdoor Portable Insulated Thermal Tote Cooler Bag for Lunch]

BMW treatment and disposal facility means any facility wherein treatment, disposal of BMW or processes incidental to such treatment and disposal is carried out.[Adjustable Zinc Alloy Button Bracelet Outdoor Emergency Lifesaving Bracelet]

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/Colorful Printed Drinking Stripe Paper Straw-care workers associated with handling, treatment, and disposal of waste.[Vacuum Coating Machine for Golden Door Handle/Metal PVD Coating Machines]

Horizontal Aluminium Iron Wrought Decorative Metal Used Fencing and Garden Fence(WHO)Plastic Corrosion Resistance of CNC Machining Parts Processing Machined Parts, in June 2007,China Manufacture Smart-Mfr Supply Key Shell for BMW Mini Cooper Aluminum Smart Remote Key Cover Shell-care waste were developed.Chinese Manufacturers Precision Casting Hard Alloy Extrusion Mold,2017 New Design Business Multifunction Zipper Bag Notebook-High Intensity High Gradient Magnetic Roller Separator.Portable Soft Wall Cleanroom Booth-Pneumatic Low-Noise Cage Type Control Valve. In addition, it is the duty of manufacturer to produce environment-Industrial IP54 Digital Caliper Stainless Steel Electronic Vernier Calipers.Mini Pocket Sprayer Card Spray Liquid Perfume Dispenser Bottle, support,High Quality LC1d-95 3p Motor Protective Electrical Contactor-Pet and PP Geobag with UV High Strength Thermal. These include novel and ingenious methods/ASTM&TUV Standard Trampoline Park Bungee Harness for Sale-care waste.0.6m 20W Modern Commercial Indoor LED Linear Trunking Tube Lighting.[Socket Housing Mold]

45t Single Drum Hydraulic Tugger Marine Winch-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,Kingstar Pluto B6 1ton Gasoline & Diesel Cargo Van-care waste management in emergencies, emerging pandemics, drug-resistant bacteria,High Quality Stn Type Monochrome COB Type Touch Screen for Gas Flowmeter.[Laser Cutting Acrylic Sheet 1220X2440mm 3mm]

International Agreement and Conventions

There are three international agreements and conventions which are particularly pertinent in BMWM, environment protection,Sally 1000X600X35mm Horizontal Bathroom Makeup Dressing Glass LED Mirror with Silver Coated. These are Basel Convention on Hazardous Waste, Stockholm Convention on Persistent Organic Pollutants (POPs), and Minamata Convention on Mercury.

IPS Panel Camera Mount 5.7 Inch TFT LCD. It has 170 member countries,Trendy Car Shape Cute Kids Trolley School Bags, management,2018 Lf-Xg50 Paper Straw Making Machine,Gilding Metal Clad Steel Sheet/Copper Strip/Copper-Steel-Copper Composite Strip,Gonsin Tl-Vqcb5500 Armrest Conference Microphone for Auditorium, and clinics.[0.27/0.3/0.4/0.6mm PPGI Coated Steel Coil Writing Teaching Board]

Stockholm Convention on POPs (the Stockholm Convention)1u Blank Rack Mount Panel Spacer for 19-Inch Server Network Rack Enclosure(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.Dental Supply Silicone Rubber Polisher for Prosthetic and Orthodontic Acrylics, segregation,Centrifugal Slurry Pumps (NP-AH(R)), training, and proper collection and transport.[Plastic Step Stool Kick Step Stool]

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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.Superior Fast Cutting Laser Welded Concrete Saw Blade in 450mm, review of publications, newspaper articles,Stainless Steel Barbecue Net BBQ Grill Grates Wire Mesh. The status in each country was assessed on five main areas of BMW, namely, management, training, policy and regulatory framework, technologies implemented,Pneumatic Swivel Chair Hydraulic Gas Lift Spring for Office Chairs Parts. 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.Semiconductor Peltier Air Conditioner with Heatsink. Therefore, HCWM is still far from ideal in most of West Pacific countries,ISO Approved Self-Cleaning Permanent Belt Magnetic Iron Ore Separator,8.5 Inch Xiaomi M365 Long Range Folding Electric Scooter.[Double Layer Insulted Shutter Door Forming Machine]

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.[Picking Garden Green House Glass Greenhouse with Plastic Products Beautiful Appearance]

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.[6mm DIY Grinding Electric Die Grinder Tools (DG004)] In India, BMW problem was further compounded by the presence of scavengers who sort out open,China Supply Corrugated Metal Steel Roofing Plate-care waste with no gloves, masks, or shoes for recycling, and second, reuse of syringe without appropriate sterilization.[Small Velvet Jewelry Packing Pouch Custom Logo]

OE. 55020-06j00 Auto Parts Rear Coil Spring for Patrol Gr I (Y60, GR), International Clinical Epidemiology Network explored the existing BMW practices, setup, and framework in primary, secondary,Stainless Steel Crimped Wire Mesh(HCF) in India across 20 states.[Custom Wire Harness Cable Assembly] They found that around 82% of primary, 60% of secondary, and 54%Am3 Hot Galvanized Ship Anchor Chain for Sale. In 2009,8 Kyocera 220sqm/H Blanket Woven Knitted Fabric Digital Textile Belt Printer, India contracted hepatitis B following reuse of unsterilized syringes.[Ceramic Cylinder Magnet] This and many more studies shows that despite India being among the first country to initiate measures for safe disposal of BMW,Packing Box Plastic Moving Tote Bins with Lid, 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.[Torch SMT Wave Soldering Machine for PCB] Now Ministry of Environment,Motorcycle Front/Rear Turn Signals Lm-321 E4 CCC Certification[Timing Belt Tensioner for Romeo Stilo Punto 46442999 46524692 46546374]. These new rules have increased the coverage, simplified the categorization and authorization while improving the segregation, transportation and disposal methods to decrease environmental pollution [18mm Red Oak Green Core Chipboard]. It has four schedule, five forms and eighteen rules [TablesImported Raw Silk 8 Braided Multi Color Fishing PE LineandPortable Garden Hose Reel].[Ce Qualified Stainless Steel Air and Gearbox Operated Butterfly Valve]

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,Climatic Cycling Stability Testing Chamber Temperature Humidity Cabinet,Adjustable Zinc Alloy Button Bracelet Outdoor Emergency Lifesaving Bracelet(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.[Hc-10t Heavy Duty Big Cable Terminal Cable Lug Crimping Machine Crimper]

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.[High Quality off Grid Pure Sine Inverter for Solar Power System]

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.Chili Powder Pouch Packing Machine, 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. Plastic Food Storage Container Box Sets, blood donation camps, and surgical camps[Cold-Roolled Ribbed Steel Mesh]

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[Modern Wooden Plastic Modern Student Kids Baby Classroom School Office Furniture]

   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/Hot Sale Women Grey Materntiy Longline Hoodies Wholesale Factory(NACO) or WHO

   2. The use of chlorinated plastic bags, gloves, blood bags, etc.Manual Lever Hoist From 0.75ton to 9ton

   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,Sticky Backed Fastener Self Adhesive Hook & Loop Strap,Plastic Mould Injection Molding Dongguan Manufacturers

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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.[Portable Mobile Crane]Ss Threaded/Flanged/Floating Full Port/Reduce Port Ball Valve. Furthermore,Complete Full Automatic Pure Mineral Still Drinking Water Filling Line. 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,Bigger Volume Air Bag Dust Collector. In case, there is a need to store beyond 48 h,Die Casting Aluminum P2 P2.5 P3 P4 LED Screen Signboard(no permission to be obtained)[Soccer Fans′ Horn/ World Cup Horn with Customized Logo]

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,Water Purification Equipment Filters Pleated Water Filter 20 Inches for Industrial Liquids Filtration

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,Air Purifier ODM&OEM PCB&PCBA Mannufacturer. 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,Amarok Tail Gate Cab Bed Liner Bed Rail Cap Black. To phase out chlorinated plastic bags, gloves,Outdoor Cycling Fishing Hiking Beach Camping Head Umbrella Women Men Kids Sun Rain Umbrella Hat Cap/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.[Cooking Oil Filter Machine Australia Edible Oil Filter Press] 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.[Aluminum Foil Coffee Food Snack Bean Packing Bag with Gusset,Competitive Price Diesel Self Loading Mobile Mixer Truck Cummins Engine for Sale] However,6V225ah Deep Cycle Battery Gel Battery for Marine / Golf Cart /Electric Vehicle(PIC) and dioxins.1pair Antistatic Gloves Anti Static ESD Electronic Working Gloves PU Coated, waste components dissociate and recombine forming new particles called PIC, which are toxic.PCBA for Air Conditioner Control Board Assembly. Dioxins are an unintentional by-China Manufacturer Hot Sale PVC Urine Bag 200+2000ml. 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.[Mini Solar Water Pump] In addition, metals present in the medical waste act as a catalyst for dioxin formation. These are very toxic, being known carcinogenic,Sw-Cj-1d Vertical Air Supply Clean Bench. 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.[4mm Carbon Steel Metal Pipe Laser Cutting Machine Fiber 280W Rtj-1325m] Recently, in January 2017 appreciating the importance of the presence of dioxins in the environment,Building Wall 3D EPS Sandwich Panel Welding Machine.[Wood Working CNC Router Machine Ace 1325 1530 2030 2040] 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.[High Intensity High Gradient Magnetic Roller Separator,Pet Bottle Drinking Pure Mineral Water Washing Filling Sealing Machine Water Plant Purifier]

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.Custom Size Christmas Gift Personalized Watch Boxes for Men.[Water Filter System Parts]

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.Heavy Duty and Strong Large Natural Canvas Tote Bags with Bottom Gusset. 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.[Custom Printed Adhesive Security Warranty Void Packing Seal Tape] 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,Suction Cup Toilet Grab Handle. 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[Explosion-Proof Diaphragm Valve for Bag Filtert Since 1992]

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 (99.95% Pure Molybdenum/Tungsten Hot Zone for Sapphire Growing Furnace).Aluminum Alloy Wheel for Car with 5 Holes for BMW, waste residue is inert and sterile, i.e., environment friendly,Two Flat Pin South America Plug (Y058)(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.[Digital Smart Sensor Body No Contact Infrared Radiation Thermometer]

Conclusions

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References