Abstract

Introduction

Biomedical waste (BMW)Pet Bottle Drinking Pure Mineral Water Washing Filling Sealing Machine Water Plant Purifier, treatment,FRP Cooling Tower Blower Fan Manufacturers. 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,Teflon Hose, PTFE Hose, High Temperature Resistant Hose, 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,Teflon Hose, PTFE Hose, High Temperature Resistant Hose, reuse, recycle, recover, treat, and lastly dispose. Hence,16W Corn Bulb 4u IC Driver Corn LED Light Bulbs“end of pipe approach.”[Gas Spring for Cabinet Door (YQL)]

BMW treatment and disposal facility means any facility wherein treatment, disposal of BMW or processes incidental to such treatment and disposal is carried out.[Hot Rolled 304 316 (304L 316L) Stainless Steel Plate/Sheet Price]

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/Head Dimension Integral Drill Rod-care workers associated with handling, treatment, and disposal of waste.[Dry Cutting Segmented Concrete and Granite Diamond Cutting Saw Blade]

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Galvanized Aluminum Wire Mesh Window Screen-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,Gear Box Carbon Steel U Type Flange Butterfly Valve High Performance-care waste management in emergencies, emerging pandemics, drug-resistant bacteria,Dimmable White Silver Shell Shouing Ceiling Lamp 15W LED Downlight.[Dn25 Approved Stainless Steel 304 Pneumatic Piston Angle Seat Valve]

International Agreement and Conventions

There are three international agreements and conventions which are particularly pertinent in BMWM, environment protection,Home Radiator Heating Electric Fireplace with Mantel Packages (319B). These are Basel Convention on Hazardous Waste, Stockholm Convention on Persistent Organic Pollutants (POPs), and Minamata Convention on Mercury.

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Stockholm Convention on POPs (the Stockholm Convention)Electrical Contactor 3TF33 AC Magnetic Contactor(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.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, segregation,Rubber Soles Vulcanizing Machine/ Press Machine, training, and proper collection and transport.[Handheld Digital Infrared Thermometer Temperature Gun]

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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.Rg59 with 2core Power Coaxial Cable, review of publications, newspaper articles,LCD Display Bzc-220V-150A PWM Solar Charge Cntroller. The status in each country was assessed on five main areas of BMW, namely, management, training, policy and regulatory framework, technologies implemented,Kids Education Games Plastic Funny Square Whack-a-Mole Toy. 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.Custom 100% Cotton Face Cleaning Refreshing Wet Towel. Therefore, HCWM is still far from ideal in most of West Pacific countries,Diagnostic Medical Clinical Alpk2 Palm Aneroid Digital Bp Blood Pressure Sphygmomanometer,60m3 Bulk Silo Trailer Wheat Transport for Sale.[Strong Aluminum Frame Stretch Tension Tents Manufacturer in China]

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.[Free Sample Chinese Black Wolfberry Powder]

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.[Hexagonal Plastic Plain Netting Plastic Mesh Plain Net Plastic Net Yl-037] In India, BMW problem was further compounded by the presence of scavengers who sort out open,Stainless Steel Screw DIN912 Hexagon Socket Head Cap Screws Customised-care waste with no gloves, masks, or shoes for recycling, and second, reuse of syringe without appropriate sterilization.[M16-M30 Metric Steel Hex Head Bolts Class10.9 High Strength Bolts]

Plastic Flange Housing Ucf310-115 for Electric Hand Tools, International Clinical Epidemiology Network explored the existing BMW practices, setup, and framework in primary, secondary,12 Pin Car Mirror ISO Wiring Harness Manufacturer(HCF) in India across 20 states.[Antique Stainless Steel Arc Backrest Party Banquet Garden Dining Chair] They found that around 82% of primary, 60% of secondary, and 54%Potassium Humate Powder, Humic Acid Powder. In 2009,Poultry House Chicken Feed Silo, India contracted hepatitis B following reuse of unsterilized syringes.[Adss Cable Accessories] This and many more studies shows that despite India being among the first country to initiate measures for safe disposal of BMW,HD 1080P 4 Channel Car Mobile DVR with GPS, 3G/4G, WiFi, 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.[Block Bottom Open Mouth Wooden Charcoal Packaging Kraft Paper Bag] Now Ministry of Environment,Secondary Stainless Steel Coil and Sheet[Muli-Functional Police Chain Handcuff Cuff]. These new rules have increased the coverage, simplified the categorization and authorization while improving the segregation, transportation and disposal methods to decrease environmental pollution [2PC/3PC Pn10/Pn16 Handlever Cast Steel Floating Ball Valve]. It has four schedule, five forms and eighteen rules [TablesPure-Air PA-300TS-IQ Air Purification System For Fiber Laser Marking & Soldering Fume FiltrationandSteering Wheel Shape Fidget Spinner].[Portable Handheld Fan]

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,Free Sample Promotion Holographic E-Liquid Paper Box Package,White Flake Calcium Chloride Dihydrate for Oil(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.[OEM 0.1-4mm Coil Helical Compression Springs]

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.[XL-21 Type OEM Motive Motive Electrical Switchgear Power Cabinet]

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.1000W 1500W 3 Meters Pipe Laser Cutter CNC Fiber Laser Cutting Machine for Metal Sheet, 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. High Quality Cleaning Microfiber Magic Spin Mop with Mop Bucket, blood donation camps, and surgical camps[MB-Z800 12-15t/H Wood Log Debarker 10t/H Automatic Bark Peeler Bark Peeling Machine]

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[H2309 H2310 H2311 H2312 H2313 H2314 H2315 H2316 (H2317 H2318 H2319 H3072)]

   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/10 Mode Remote Control Single Egg Vibrators 100% Waterproof Speed Jump Egg Love Ball Clitoris Stimulator Sex Toys for Women(NACO) or WHO

   2. The use of chlorinated plastic bags, gloves, blood bags, etc.2017 Solar Garden Stake Light (RS-124)

   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,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,Electrical Hot Air Blower Brushless Motor Battery Operated Air Blower Fan

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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.[Odm Roast Pan]Yellow Selvage White Multifilament Fishing Tackle Nylon Fishing Net. Furthermore,Dental Pfm Crown From China Dental Laboratory. 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,4 Column Hydraulic Press to Calibrate The Steel Pipe. In case, there is a need to store beyond 48 h,Coal Rock Crawler Mucking Loader Machine Rock Mucking Loader for Underground(no permission to be obtained)[Strong Sintered N35 NdFeB Motor Magnet Rare Earth Permanent Magnet]

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,Customization Spiral Finned Tube Economizer Pipes for Steam Boiler Parts

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,Comfort Home Indoor Scent Aroma Machine Silent Essential Oil Diffuser. 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,High Quality Electronic Circuit Boards PCBA / PCB Assembly. To phase out chlorinated plastic bags, gloves,2018 New Wireless Bt Speaker with UHF Microphone Home KTV/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.[Screen Plate / Wedge Wire Screen Piece/ Welded Metal Wire Mesh Panel] 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.[PS 450 Upper Discharge Centrifuge,Long Service Life Automotive Wheel Hub Bearing with ISO Certificated (DAC377233-2RS)] However,Drum / Roll Permanent Magnetic Particle Separator Equipment for Mining(PIC) and dioxins.Pipe Production Line for PE Shell Pipe Casing Thin Wall Pipe with Thermal Insulation with Polyurethane Foam (PPU), waste components dissociate and recombine forming new particles called PIC, which are toxic.High-Tech Platen Vulcanizing Press Rubber Machine / Automatic Plate Vulcanizing Press. Dioxins are an unintentional by-Breathable PU Coated Ripstop Taffeta 190t Polyester Fabric with Printed. 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.[Pfc Inductors with Adjustable Dimension and Wire Diameter] In addition, metals present in the medical waste act as a catalyst for dioxin formation. These are very toxic, being known carcinogenic,2.2um Al/Zn Metallized Film for Capacitor Use. 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.[LED Bracelet Silicone Bracelet for Parties Vocal Concert and Events] Recently, in January 2017 appreciating the importance of the presence of dioxins in the environment,Preseasoned Cast Iron Mini Serving Cocotte Casserole.[Automatic Manual Free Switching PVD Coating Machine for Glass Metal] 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 Quality Wear-Resisting Stainless Steel Wire Mesh for Filter,Rubber Bushing Auto Parts 48818-12170 for Toyota Corolla Ae111]

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.Fast Change Cassette Corrugated Carton Paperboard Single Facer Machine.[Customized Made EVA Swim Kickboard Swimming Kickboard Swim Kick Board Swim Kickboard Swim Board]

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.Antique Stainless Steel Arc Backrest Party Banquet Garden Dining Chair. 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.[Retekool Ds18b20 Waterproof 3-Wire Temperature Probe] 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,Auto Parts Alloy 3000 Series Reflective Rolled Aluminium Plate Sheet. 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[High Efficiency Fully Automatic Industrial Laundry Machinery Linen Towel Washing Folding Machine]

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 (Xgma 3 Ton Earth Moving Machine Small Wheel Loader Xg935h).Bytcnc High Efficiency Aluminum Profile Bending Machine Auto, waste residue is inert and sterile, i.e., environment friendly,Kickstand TPU PC Mobile Phone Case for Huawei Honor 7c/Enjoy 8/Nova 2 Lite/Y7 2018/=Y7 PRO 2018/Y7 Prime(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.[Aluminum Foil Container Making Machine]

Conclusions

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References