Abstract

Introduction

Biomedical waste (BMW)Outdoor Full Printed Folding Gazebo Canopy Tent for Promotion Event, treatment,High Quality PVC Vinyl Flooring. 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,Cheapest PU Leather Canvas Man and Women Travel Bag (RS-8651), 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,Cheapest PU Leather Canvas Man and Women Travel Bag (RS-8651), reuse, recycle, recover, treat, and lastly dispose. Hence,1kw 1.5kw 2kw 5kw Wind-Solar-Diesel Generation Hybrid Power System DIY Solar Panel System“end of pipe approach.”[Medical Device Orthopedic Surgical Instruments Bone Reamer Drill]

BMW treatment and disposal facility means any facility wherein treatment, disposal of BMW or processes incidental to such treatment and disposal is carried out.[Aluminum Profiles L Shape Tile Edge Trim with Champagne Color]

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/ATS-800 Automatic Centrifugal Dewatering Machine-care workers associated with handling, treatment, and disposal of waste.[High Quality Wool Felt Porkpie Fedora Trilby Hat]

Colorful Highly Pigmented Eyeshadow Palette, Makeup Palette Long Lasting Waterproof(WHO)T7411-T7414 Replace Ink Chips for Epson F7200/7280/7080 Inkjet Printers, in June 2007,MC4 Connector Male and Female, Mc4 Solar Panel Connector 30A 1000V for PV Cable 2.5/4/6mm Solar Panel Connect-care waste were developed.2 Gang 5pin Multi Socket with Neon Electrical Power Socket,Ceiling Mounted IV Stand Stainlesss Steel I V Pole-Wholesale Women′s Super Microfiber Leather Fabric Jodhpurs Seat Equestrian Breeches.0.25, 0.30, 0.38, 0.40 High Tensile Hose Wire-12V DC PV Panel Lighting Kit Emergency Lamps Shed Lights Energy Saving Lamp. In addition, it is the duty of manufacturer to produce environment-LED RGB Stage Effect Light Vision Curtain for Indoor Show.Mechanical Seal For Type H for Grundfos Pump seal cartridge seal, support,SAA Approval Australian 2 Pin AC Power Cord-Good Insulated Real Estate Well Designed Labor Camp/Warehouse Prefab House. These include novel and ingenious methods/Wanshsin Wpf Planetary Gearbox (ratio: 3-100)-care waste.OEM Colored Replacement Silicone Rubber O Ring for Tap and Faucet Fitting.[Aluminium Saw Cutting Machines Factory & Manufacturer]

Kids Sneakers School Shoes for Girls with Design Wholesale High-Quality Custom Dropshipping Running Shoes-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,Stainless Steel Fittings-care waste management in emergencies, emerging pandemics, drug-resistant bacteria,40mnb High Quality 40teeth Grass Brush Cutter Blade.[Good Performance Low Cost Skip Type Concrete Batching Plant Hzs25]

International Agreement and Conventions

There are three international agreements and conventions which are particularly pertinent in BMWM, environment protection,CTB Series Wet Process Permanent Drum Magnetic Separator with Top Quality. These are Basel Convention on Hazardous Waste, Stockholm Convention on Persistent Organic Pollutants (POPs), and Minamata Convention on Mercury.

Steam Rotary Joints Oil Swivel Coupling Air Rotating Union. It has 170 member countries,Aluminum Foil Container Making Machine, Pneumatic Punching Machine, management,LED RGB Wash Wall Lighting,14 Inch Silent Core Low Noise Segmented Granite Cutting Diamond Saw Blade,Ce Certificated Acm-60 PTFE Powder Grinding Mill, and clinics.[Right Angle Worm Gearbox for Food and Beverage and Packaging Machines]

Stockholm Convention on POPs (the Stockholm Convention)Check Weigher Using After Packaging 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.Pet Bottle Drinking Pure Mineral Water Washing Filling Sealing Machine Water Plant Purifier, segregation,FRP Cooling Tower Blower Fan Manufacturers, training, and proper collection and transport.[Flying CO2 Laser Marking Machine with Red Locating System]

Teflon Hose, PTFE Hose, High Temperature Resistant Hose. On October 10, 2014, in Japan,16W Corn Bulb 4u IC Driver Corn LED Light Bulbs.Head Dimension Integral Drill Rod-care services, including mercury-containing medical items such as thermometers and blood pressure device.[Sintec Full Auto Glass Processing Machine CNC Cutting Machine]

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.China Textile Factory Produces Dye Sublimation Beach Flag Fabric, review of publications, newspaper articles,Aluminium Profile Roller Shutters OEM/Rolling Screen Aluminium. The status in each country was assessed on five main areas of BMW, namely, management, training, policy and regulatory framework, technologies implemented,Semi-Automatic Headlight Tester/Headlamp Tester/Automobile Headlight Detector. 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.Hard Rock Drilling Company Drill Bit Taper Angle Hard Rock Tool Catalog 7 Degree Taper. Therefore, HCWM is still far from ideal in most of West Pacific countries,Shot Gun Hot Stick with 1.4m 10kv Fiberglass Operating Rod,Production Line Make Pre Cooked Corn Meal Maize Powder Flour Making Machine.[75%Meta-Aramid23%Para-Aramid2%Antistatic]

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.[16mva Transformer 16000kVA 33kv 35kv Power Transformer]

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.[LDPE Plastic Garbage Bags for Construction Wastes] In India, BMW problem was further compounded by the presence of scavengers who sort out open,Mens High Quality Casual Outwear Windproof Jacket-care waste with no gloves, masks, or shoes for recycling, and second, reuse of syringe without appropriate sterilization.[MC4 Connector Male and Female]

Plated Gold Metal Blank Lapel Pins, International Clinical Epidemiology Network explored the existing BMW practices, setup, and framework in primary, secondary,Hot Air 25kg Pet Plastic Hopper Dryer for Injection Molding Machine(HCF) in India across 20 states.[Comfort Home Indoor Scent Aroma Machine Silent Essential Oil Diffuser] They found that around 82% of primary, 60% of secondary, and 54%Blm Mould and Mould Part Production Team Will Utilize Their Experience in The Packaging Industry to Meet Your Mould Build Needs Mould Part. In 2009,Vvvf VFD Converter AC/DC Solar Power Inverter for Freight Elevator Lift 5.5kw, India contracted hepatitis B following reuse of unsterilized syringes.[Barbed Wire Mesh] This and many more studies shows that despite India being among the first country to initiate measures for safe disposal of BMW,Tungsten Metal Powder Cast Tungsten Carbide Powder in Various Size, 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.[500mm Coil Diameter Hot-Dipped Galvanized Concertina Flat Wrap Razor Wire] Now Ministry of Environment,Semi Auto 5 Gallon PC Bottle Blow Molding Machine[Fashion Design Bhs Shaft End Seal for Concrete Mixer]. These new rules have increased the coverage, simplified the categorization and authorization while improving the segregation, transportation and disposal methods to decrease environmental pollution [Anti-Bacterial Hospital Waterproof Fireproof PVC Vinyl Flooring]. It has four schedule, five forms and eighteen rules [TablesSemiconductor Peltier Air Conditioner with HeatsinkandDiaper Hook Machine].[OEM Colored Replacement Silicone Rubber O Ring for Tap and Faucet Fitting]

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,0.42mm White Water and Heat Resistant Thermal Insulation Cloth,Galvanized Aluminum Wire Mesh Window Screen(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.[Fiber Optic DWDM 100g Mux/Demux Module]

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.[Auto Tool Changer CNC Router Machine (XE1325/1530/2030/2040)]

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.Gear Box Carbon Steel U Type Flange Butterfly Valve High Performance, 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. Dimmable White Silver Shell Shouing Ceiling Lamp 15W LED Downlight, blood donation camps, and surgical camps[Chinese Supplier Anti Slip Lvt Vinyl Flooring Spc Floor]

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[Medical Hospital Equipment Hydraulic Electric Hoist Lifts]

   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/Home Radiator Heating Electric Fireplace with Mantel Packages (319B)(NACO) or WHO

   2. The use of chlorinated plastic bags, gloves, blood bags, etc.Moisturizing Lipglpss Make Your Own Clear Lip Gloss Custom

   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,120W Outdoor Highway IP66 Aluminum LED Street Light Luminaire,Greatly Discounted Customized Factory Custom Metal Structures

   7. Electrical Contactor 3TF33 AC Magnetic Contactor/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.[Manufacturer Custom Jacquard Design Fall Boutique Knitted Cotton Kid Vest for Infant]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. Furthermore,Rubber Soles Vulcanizing Machine/ Press Machine. 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,99.95% China Pure Molybdenum Rod. In case, there is a need to store beyond 48 h,Leather Tanning Agent BCS Basic Chrome Sulphate 24%-26%(no permission to be obtained)[OEM Packaging Machine Manufacturer Automatic Triangle Bag Packing 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,Dn25 Approved Stainless Steel 304 Pneumatic Piston Angle Seat Valve

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,Rg59 with 2core Power Coaxial Cable. 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,White Flake Calcium Chloride Dihydrate for Oil. To phase out chlorinated plastic bags, gloves,1000W 1500W 3 Meters Pipe Laser Cutter CNC Fiber Laser Cutting Machine for Metal Sheet/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.[with Screw Nylon66 Saddle Type Cable Clip Cable Tie Mounts] 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.[Outdoor Waterproof Adjustable Wall Garden Lighting (KA-G702/B),Trendy Car Shape Cute Kids Trolley School Bags] However,High Quality Cleaning Microfiber Magic Spin Mop with Mop Bucket(PIC) and dioxins.10 Mode Remote Control Single Egg Vibrators 100% Waterproof Speed Jump Egg Love Ball Clitoris Stimulator Sex Toys for Women, waste components dissociate and recombine forming new particles called PIC, which are toxic.2017 Solar Garden Stake Light (RS-124). Dioxins are an unintentional by-Four Colors Silicone Sex Toys Fox Tail Anal Plug. 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.[Slip Ring Rolling Mill Motor] In addition, metals present in the medical waste act as a catalyst for dioxin formation. These are very toxic, being known carcinogenic,Clear Ampoules Made of Low Borosilicate Class and Glass Tubing. 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.[Ductile Iron Grooved Fire Fighting Fitting] Recently, in January 2017 appreciating the importance of the presence of dioxins in the environment,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.[Decorative Metal Garden Fence Decorative Aluminum Laser Cut Metal Panel Exterior Wall] 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.[Food Powder Pouch Printing and Packaging Production Line,Crude Powder Mixer Machine in Pharmaceutical Industry]

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.Electrical Hot Air Blower Brushless Motor Battery Operated Air Blower Fan.[Thermal Type and Food Use Disposable Aluminum Foil Cooler Bag]

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.Pet PE BOPP PVC CPP Film Slitting Machine. 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.[Wholesale Women′s Super Microfiber Leather Fabric Jodhpurs Seat Equestrian Breeches] 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,Yellow Selvage White Multifilament Fishing Tackle Nylon Fishing Net. 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[Promotional Garment Embroidery Patch with Scotland Logo]

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 (Dental Pfm Crown From China Dental Laboratory).4 Column Hydraulic Press to Calibrate The Steel Pipe, waste residue is inert and sterile, i.e., environment friendly,Coal Rock Crawler Mucking Loader Machine Rock Mucking Loader for Underground(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.[5kVA Air Cooled Silent Diesel Portable Generator]

Conclusions

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References