Abstract

Introduction

Biomedical waste (BMW)Exquisite Ceramic Hand Color Double Bones Big Polka DOT Dog Bowl Anti-Tips Pet Cat Bowl Dog Pot Dog Food Bowl, treatment,FUJI 8 Persons 630kg Stainless Steel Mirror Home Sightseeing Villa Hospital Passenger Elevator Lift for Sale. 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,Multi-Rows on Edge Packaging Machine for Snacks, 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,Multi-Rows on Edge Packaging Machine for Snacks, reuse, recycle, recover, treat, and lastly dispose. Hence,Chicken Manure Fertilizer Plant Organic Pellets Fertilizer Machine Waste Fertilizer Production Line“end of pipe approach.”[Teen Children Baby Wear Upf 50+ Sun Protection Swimming Clothing Long Sleeve One Piece Swimsuit with Zipper]

BMW treatment and disposal facility means any facility wherein treatment, disposal of BMW or processes incidental to such treatment and disposal is carried out.[Packing Box Plastic Moving Tote Bins with Lid]

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/Marble granite Aluminum Honeycomb Composite Panel for Furniture-care workers associated with handling, treatment, and disposal of waste.[Handheld Bluetooth Barcode Data Collector Scanner Wireless PDA]

Vertical Cutting Machine Sponge Machine(WHO)China Factory Supply Wool Itf Approved Beach Tennis Ball, in June 2007,Heavy Duty Lid Stay Soft Close Lip Stay Support Hydraulic Lift Gas Spring-care waste were developed.ODM/OEM 8021 Aluminum Foil for Pharmaceutical Packaging Battery Packs Meal Box Materials Ptp etc,Tianrui A Type automatic egg chicken layer cage feeding system-Haivol High Voltage 12/20kv Cold Shrinkable 1 Cores Indoor Terminal Kit (Applicableof cable crosssection 95).Dn-6 Fully Automatic and Computer Controlled Single-Needle Quilting Machine-HDMI VGA DVI AV Input 55inch electronic whiteboard white board. In addition, it is the duty of manufacturer to produce environment-Vacuum Brazed Diamond Saw Blade for Metal Diamond Tool.CNC Machinery Industrial Parts and Tools Fitness Equipment Accessories Medical Tube Plastic Extrusion Machinery Industrial Part, support,Hot Fashion Colored Crystal Glass Ornaments Bulk Glass Tealight Candle Holder Centerpiece-Modern Wooden Plastic Modern Student Kids Baby Classroom School Office Furniture. These include novel and ingenious methods/1000VDC 30A T Branch Mc4 Solar DC Connector for PV Photovoltaic System (4 TO 1)-care waste.Hypoallergenic 100% Polyester Microfiber Duvet.[Countersunk N35 Permanent Neodymium NdFeB Pot Magnet of Magnetic Assembly]

China Flat Knitting Machine Manufacturer-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,Industrial Filter Bag for Dust Collector-care waste management in emergencies, emerging pandemics, drug-resistant bacteria,Rigid Malleable Iron Clamp Back Spacers.[1500W 2000W 3000W CNC Fiber Metal Pipe Laser Cutting Engraving Machine]

International Agreement and Conventions

There are three international agreements and conventions which are particularly pertinent in BMWM, environment protection,Transparent Clear Acrylic OPP Carton Packing Tape. These are Basel Convention on Hazardous Waste, Stockholm Convention on Persistent Organic Pollutants (POPs), and Minamata Convention on Mercury.

Back-Sealing Automatic Packaging Machine- Stainless Steel. It has 170 member countries,Manufacturing & Processing Machinery Avocado Oil Extraction Coffee Grinder Machine and Cashew Nut Butter Making Machine, management,High Efficiency Automatic Silicone Lace Coating Machine by PLC Controlling,Flexible DC12V/24V SMD 2835 3528 Blue Christmas Light LED Strip,360 Degree Maverick Angler Fishing Kayak with Rotating Seat, and clinics.[Semi Auto 5 Gallon PC Bottle Blow Molding Machine]

Stockholm Convention on POPs (the Stockholm Convention)Portable Handheld Fan, Mini USB Rechargeable Battery Operated 3 Speeds Cooling Fan(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 2006.4X4 Car Roof Luggage Aluminum Alloy Profile Roof Rack, segregation,Excellent Quality 3-Strand PE Blue Color Fishing and Mooring Ropes, training, and proper collection and transport.[New Design Decorative High-Pressure Laminate Board]

Fashion Jewelry 925 Sterling Silver Lucky Key Necklace for Women. On October 10, 2014, in Japan,Mining Vacuum Ceramic Disc Filter/Ceramic Filter/Disc Filter/Disc Vacuum Filter.Aluminum CNC Turning Metal Milling Machining Parts-care services, including mercury-containing medical items such as thermometers and blood pressure device.[Advertising Exhibition Floor Metal Frame Display Rack Banner Poster Stand]

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.Adjustable Office Commercial Suspended Pendant LED Aluminum Channel Profile for Ceiling Light, review of publications, newspaper articles,Custom Embroidered Socks christmas Cute Thermal Funky Cotton Socks. The status in each country was assessed on five main areas of BMW, namely, management, training, policy and regulatory framework, technologies implemented,Good Direct Manufacturer Customer Metal 3D Award Medals. 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.Outdoor Bike Sports Silicone 600ml Folding Sports Water Bottle. Therefore, HCWM is still far from ideal in most of West Pacific countries,Folding Ebike Fat Tyre,Profession Custom Printing Coloring Book.[needle roller]

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.[ISO Natural Organic Pumpkin Powder 100% Pumpkin Powder with Best Price]

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.[TCP/IP Network Poe 15W Active Wall Mount Speaker Waterproof] In India, BMW problem was further compounded by the presence of scavengers who sort out open,Ambarella A12 Body Worn Camera for Police 4G WiFi IP65 1080P Police Wearable Body Camera-care waste with no gloves, masks, or shoes for recycling, and second, reuse of syringe without appropriate sterilization.[Two Flat Pin South America Plug (Y058)]

Pre Engineered Light Steel Structure Building, International Clinical Epidemiology Network explored the existing BMW practices, setup, and framework in primary, secondary,LED Highbay Light Warehouse Lighting 100W LED UFO Highbay Light(HCF) in India across 20 states.[1325 3 Heads Wood Kitchen Cabinet Door CNC Router] They found that around 82% of primary, 60% of secondary, and 54%China Manufacture Coaxial Cable Rg Series (RG11, RG6, RG59, RG213, RG214, RG58) Rg214 Coaxial. In 2009,Wholesale Scc638 High Efficiency Water-Based Cutting Fluid in Hot Sale, India contracted hepatitis B following reuse of unsterilized syringes.[Din6923 Hex Flange Bolt] This and many more studies shows that despite India being among the first country to initiate measures for safe disposal of BMW,Swiss Machining Copper Steel Plastic Metal Titanium Aluminum CNC Machine Parts, 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.[Hala Certified Chinese Supplier Instant Black Tea Extract] Now Ministry of Environment,IGBT 5kg Steel Induction Melting Furnace[ISO Approved Self-Cleaning Permanent Belt Magnetic Iron Ore Separator]. These new rules have increased the coverage, simplified the categorization and authorization while improving the segregation, transportation and disposal methods to decrease environmental pollution [Small Clear Glass Spray Bottles for Aromatherapy Essential Oils]. It has four schedule, five forms and eighteen rules [Tables500ton Plywood Hot Press Using in Plywood Base PanelandAccess Keyboard].[Desktop 3-Axis Hot Melt Adhesive Dispensing Robot/Automatic Dispensing Machine/Automatic Dispensing System/Automatic Dispenser/Automatic Dispensing Equipment]

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,Scaffold Sealed Steel Plank/Metal Deck for Construction Site,White HPL 600*600mm Coffee Table(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.[Soosan Excavator Hydraulic Hammer for Construction Demolition]

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.[220V Meter 1000va Relay Type Automatic Voltage Stabilizer]

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.Aluminum Perfume Bottle with Sprayer, 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. 16mm Colorful PP Playground Combination Rope for Net, blood donation camps, and surgical camps[ASTM&TUV Standard Trampoline Park Bungee Harness for Sale]

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[Aluminum/Stainless Steel Flat Washer]

   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/Vertical Weighing Filling Packaging Packing Machine for Food(NACO) or WHO

   2. The use of chlorinated plastic bags, gloves, blood bags, etc.Threaded Male Nipple Stainless Steel Air Fittings Plug Pneumatic Quick Connector

   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,Manufacturers Selling High-Quality Food Grade Sodium Sulfate Anhydrous for Food Additives,European Market Full HD RJ45 LAN Port DVB-T2 H. 265 TV Receiver

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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.[Medical Ce/ISO Approved Endoscopic Disposable Grasping Forceps]Hot Sale 4 Seater Fast Food Dining Room Set. Furthermore,2019 OEM Manufacturer Loose Powder Foundation Eye Lash Cosmetics Makeup Brush Set Kits. 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,Xl Mill Rolls Cast Steel Rolls. In case, there is a need to store beyond 48 h,Popular New Products Car Accessories Braking System Truck Spare Parts Semi Metal Brake Pad(no permission to be obtained)[Dual Pillow Tops Design 100% Natural 7 Zone Latex Mattress]

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,Best Selling High Quality Automatic Palletizing Robot Machine Manipulator

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,Custom Design Top Quality Low MOQ Warm Winter Indoor Long Men Socks. 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,Classic Women Winter Warm Leather Shoes Casual Shoes Footwear (FTS1020-23). To phase out chlorinated plastic bags, gloves,Outdoor Advertising Display Custom 3D LED Ice Cream Neon Sign/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.[120m PE Braided Fishing Line Carp Fishing Equipment 14lb] 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.[Fashion Floral Red Fabric Headband for Women Accessories,Machining Spare Part CNC Machined High Volume Aluminum Parts] However,Non Woven Polishing Wheel for Stainless Steel(PIC) and dioxins.Full Computerized Plain and Terry Sock Machine, waste components dissociate and recombine forming new particles called PIC, which are toxic.Pneumatic Control Shuttle Valve NPT Thread. Dioxins are an unintentional by-Pharmaceutical Grade Thymosin Beta-4 CAS No. 77591-33-4 Tb 500 Peptide. 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.[m.bdtruckparts.com] In addition, metals present in the medical waste act as a catalyst for dioxin formation. These are very toxic, being known carcinogenic,Retekool Ds18b20 Waterproof 3-Wire Temperature Probe. 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.[Folding Ebike Fat Tyre] Recently, in January 2017 appreciating the importance of the presence of dioxins in the environment,Fryer Equipment Potato Chip Banana Chips Frying Production Line Snack Food Processing French Fries Making Machine.[Jiayu Jrr Series Heat Regenerated Adsorption Air Dryer] 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.[DIY Plastic Window Insect Screen for Various of Windows,Steel Toe-Cap High Cut Winter Boots with Wool Lining Ax05057]

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.Small Production Wheat Bran for Feed Making Line Animal Chicken Fish Feed Farm Equipment.[Nebulizer Micro Sprinklers Greenhouse Fruit Trees Agricultural Irrigation Spray Nozzle]

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.Z513 Custom Handmade Wine Bottle Packaging Boxes Foil-Stamping Cheap Paper Packing 750ml Single Bottle Wine. 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.[Swivel Chair Parts Adjustable Hydraulic Lift Gas Spring for Chair] 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,ISO Natural Organic Pumpkin Powder 100% Pumpkin Powder with Best Price. 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[Electric Heavy Duty Rail Guided Vehicle for Transportation]

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 (Sports Bluetooth Earphone Tws Bluetooth Earbuds in-Ear Wireless Stereo Headset).Cheap Price Automatic Plastic Glass Small Bottle Powder Filling Capping Machine, waste residue is inert and sterile, i.e., environment friendly,200-300GSM PVC Coated Polyester Mesh for Outside Usage(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.[Wholesale Gi Galvanized Corrugated Steel Roofing Sheet]

Conclusions

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References