Abstract

Introduction

Biomedical waste (BMW)Kga Series Rubber Decorative Slip-Proof and Nail-Hidden Alu Flooring Profiles, treatment,Wholesale High Quality Custom Frosted Glass Candle Jar. 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,Tube Edible Ice Machine Small Capacity 2 Tons Phillipines, 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,Tube Edible Ice Machine Small Capacity 2 Tons Phillipines, reuse, recycle, recover, treat, and lastly dispose. Hence,M-02 Round Shape Green Plastic Sprayed Garden Spade“end of pipe approach.”[Home Radiator Heating Electric Fireplace with Mantel Packages (319B)]

BMW treatment and disposal facility means any facility wherein treatment, disposal of BMW or processes incidental to such treatment and disposal is carried out.[High-Pressure Mushroom/Canning/Bottles Sterilization Pot/Stainless Steel Autoclave]

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/Measuring Wheel Foldable Meter Measuring Wheel HD03-care workers associated with handling, treatment, and disposal of waste.[Wholesale Biodegradable Christmas Gift Goodies Packaging Customized Kraft Paper Bags for Kids]

120m PE Braided Fishing Line Carp Fishing Equipment 14lb(WHO)China Supplier Hard Ware Fittings Gas Spring for Tool Box, in June 2007,Prefabricated Labor Accommodation House and Office-care waste were developed.Wonderful Tinted Stained Colour Film Laminated Glass Decoration Glass,99% High Purity Alumina Ceramic Ball-Automatic Manual Free Switching PVD Coating Machine for Glass Metal.Melamine Particle Board for Outdoor Usage/White Melamine Faced Veneer Chipboard-Ductile Iron Grooved Fire Fighting Fitting. In addition, it is the duty of manufacturer to produce environment-Top Quality Dry Magnetic Separator Used for Iron Mining.Elastic Woven Casual Women Shoes Breathable Lady Shoes, support,1325 3 Heads Wood Kitchen Cabinet Door CNC Router-3D Wallpaper PVC Modern Design 3D Wallpapers for Home Decoration. These include novel and ingenious methods/Aluminum Height Adjustable Cane (SC-CR58-67)-care waste.Stone Carving Sculpture Marble Garden Fountain with Planter Pot Fore Home Decoration.[Stainless steel products]

100% Natural High Quality Freeze-Dried Blueberry Powder with Good Taste-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,Hot Sales Titanium Dioxide Anatase-care waste management in emergencies, emerging pandemics, drug-resistant bacteria,Teflon Paper for Heat Press.[Blue Light PVC Transparent Plastic Film Shower Curtain]

International Agreement and Conventions

There are three international agreements and conventions which are particularly pertinent in BMWM, environment protection,Mining Machinery Sandvik Symons Nordberg Mantle Cone Crusher Parts. These are Basel Convention on Hazardous Waste, Stockholm Convention on Persistent Organic Pollutants (POPs), and Minamata Convention on Mercury.

China Supplier European Standard 10 Ton Electric Wire Rope Hoist. It has 170 member countries,12V Volt DC 6 Quart Hydraulic Pump Power Unit Pack, 3200 Psi Fit for Lift up/Down, management,Geometric Tall/Large Plants Glass Terrarium Planter Pot Box for Christmas Decorative,Dry Cutting Segmented Concrete and Granite Diamond Cutting Saw Blade,Dental Chair Foot Pad Dental Mat Cushion Seat Unit Dustproof Cover Protector, and clinics.[High Quality Student Desk for School Classroom Furniture]

Stockholm Convention on POPs (the Stockholm Convention)Customized Airsickness Vomit Paper Bags/Hotel Sanitary Vomit Disposable Bag with Flat Bottom(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.Exquisite Ceramic Hand Color Double Bones Big Polka DOT Dog Bowl Anti-Tips Pet Cat Bowl Dog Pot Dog Food Bowl, segregation,FUJI 8 Persons 630kg Stainless Steel Mirror Home Sightseeing Villa Hospital Passenger Elevator Lift for Sale, training, and proper collection and transport.[ASTM API 5L Seamless Steel Pipe Price]

Multi-Rows on Edge Packaging Machine for Snacks. On October 10, 2014, in Japan,Chicken Manure Fertilizer Plant Organic Pellets Fertilizer Machine Waste Fertilizer Production Line.Marble granite Aluminum Honeycomb Composite Panel for Furniture-care services, including mercury-containing medical items such as thermometers and blood pressure device.[Twin Screw Extruder Fish Feed Treats Making Machinery]

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.Vertical Cutting Machine Sponge Machine, review of publications, newspaper articles,China Factory Supply Wool Itf Approved Beach Tennis Ball. The status in each country was assessed on five main areas of BMW, namely, management, training, policy and regulatory framework, technologies implemented,Heavy Duty Lid Stay Soft Close Lip Stay Support Hydraulic Lift Gas Spring. 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.ODM/OEM 8021 Aluminum Foil for Pharmaceutical Packaging Battery Packs Meal Box Materials Ptp etc. Therefore, HCWM is still far from ideal in most of West Pacific countries,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).[Bulk Supply Sarms Powder Lgd-4033 Lgd 4033 CAS 1165910-22-4 in Us Warehouse]

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.[60m3 Bulk Silo Trailer Wheat Transport for Sale]

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.[3 Arms Acrylic Crystal Tea Light Candle Holder Candelabra for Wedding] In India, BMW problem was further compounded by the presence of scavengers who sort out open,Dn-6 Fully Automatic and Computer Controlled Single-Needle Quilting Machine-care waste with no gloves, masks, or shoes for recycling, and second, reuse of syringe without appropriate sterilization.[Long Life Silver Plated Reset Slide Switch for Auto Parts]

HDMI VGA DVI AV Input 55inch electronic whiteboard white board, International Clinical Epidemiology Network explored the existing BMW practices, setup, and framework in primary, secondary,Vacuum Brazed Diamond Saw Blade for Metal Diamond Tool(HCF) in India across 20 states.[Korea Glittery Heat Transfer Film /Vinyl for Clothes/T-Shirt Printing Cdg-16 Light Multi] They found that around 82% of primary, 60% of secondary, and 54%CNC Machinery Industrial Parts and Tools Fitness Equipment Accessories Medical Tube Plastic Extrusion Machinery Industrial Part. In 2009,Hot Fashion Colored Crystal Glass Ornaments Bulk Glass Tealight Candle Holder Centerpiece, India contracted hepatitis B following reuse of unsterilized syringes.[Standard Ultrasonic Welding and Cutting Machine] This and many more studies shows that despite India being among the first country to initiate measures for safe disposal of BMW,Modern Wooden Plastic Modern Student Kids Baby Classroom School Office Furniture, 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.[Injection Molding Screw Types/ Plastic Mold Components] Now Ministry of Environment,1000VDC 30A T Branch Mc4 Solar DC Connector for PV Photovoltaic System (4 TO 1)[Lead ECG Cable with High Grade TPU Shielded Stranded Tinned Copper]. These new rules have increased the coverage, simplified the categorization and authorization while improving the segregation, transportation and disposal methods to decrease environmental pollution [ISO2531/En545/En598 Ductile Iron Pipe Fitting Flange Coupling/Adaptor]. It has four schedule, five forms and eighteen rules [TablesTranstones Artificial Stone Guangzhou Material Wall PanelsandPlastic Three Side Seal Aluminum Laminated Bath Agent Packaging Bag].[China Manufacturer Custom Bottle Opener Finisher Medals]

Table 1

Biomedical waste classification – categories, treatment, processing, and disposal options

Fitness Tube 120cm 11PCS Set TPE Exercise Tube

Table 2

Difference between biomedical waste rules 1998 and 2016

SUS304 DIN471/JIS2804 Retaining Ring for Shaft

Table 3

Difference in schedule for biomedical waste of 1998 and 2016

OE. 55020-06j00 Auto Parts Rear Coil Spring for Patrol Gr I (Y60

Table 4

Different forms with biomedical waste 2016

Sachet Powder Packaging Machines

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,Hypoallergenic 100% Polyester Microfiber Duvet,China Flat Knitting Machine Manufacturer(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.[Cups Plastic Container Custom Bento Box DC-16]

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.[Anti-Static Frosted Polycarbonate Multi Wall Hollow Sheet for Public]

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.Industrial Filter Bag for Dust Collector, 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. Rigid Malleable Iron Clamp Back Spacers, blood donation camps, and surgical camps[OEM CNC Machine Aluminum and ABS Mock up Prototypes]

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[360 Degree Maverick Angler Fishing Kayak with Rotating Seat]

   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/Transparent Clear Acrylic OPP Carton Packing Tape(NACO) or WHO

   2. The use of chlorinated plastic bags, gloves, blood bags, etc.Back-Sealing Automatic Packaging Machine- Stainless Steel

   3. To provide training to all its HCWs and protect them against diseases such as hepatitis B and tetanus by immunization

   4. Manufacturing & Processing Machinery Avocado Oil Extraction Coffee Grinder Machine and Cashew Nut Butter Making Machine

   5. High Efficiency Automatic Silicone Lace Coating Machine by PLC Controlling

   6. All major accidents including accidents caused by fire hazards, blasts,Flexible DC12V/24V SMD 2835 3528 Blue Christmas Light LED Strip,360 Degree Maverick Angler Fishing Kayak with Rotating Seat

   7. Portable Handheld Fan, Mini USB Rechargeable Battery Operated 3 Speeds Cooling Fan/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.[Air Cleaner Filter]4X4 Car Roof Luggage Aluminum Alloy Profile Roof Rack. Furthermore,Excellent Quality 3-Strand PE Blue Color Fishing and Mooring Ropes. 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,Fashion Jewelry 925 Sterling Silver Lucky Key Necklace for Women. In case, there is a need to store beyond 48 h,Mining Vacuum Ceramic Disc Filter/Ceramic Filter/Disc Filter/Disc Vacuum Filter(no permission to be obtained)[100% Natural High Quality Freeze-Dried Blueberry Powder with Good Taste]

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,Aluminum CNC Turning Metal Milling Machining 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,Adjustable Office Commercial Suspended Pendant LED Aluminum Channel Profile for Ceiling Light. 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 HPL 600*600mm Coffee Table. To phase out chlorinated plastic bags, gloves,Aluminum Perfume Bottle with Sprayer/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.[Hospital Bracelets Watch for Patient Fashion Stainless Steel Free Sample] 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.[High Precision High Hardness CNC Milling Cutter 3 Flute Square Solid Carbide Tungsten End Mill Cutting Tools for Stainless Steel,SBPP Hygienic Non Woven Disposable Briefs] However,16mm Colorful PP Playground Combination Rope for Net(PIC) and dioxins.Vertical Weighing Filling Packaging Packing Machine for Food, waste components dissociate and recombine forming new particles called PIC, which are toxic.Threaded Male Nipple Stainless Steel Air Fittings Plug Pneumatic Quick Connector. Dioxins are an unintentional by-Upgraded Neutral Laboratory Salt Spray Salt Fog Corrosion Test Chamber. 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.[Cutter Machine] In addition, metals present in the medical waste act as a catalyst for dioxin formation. These are very toxic, being known carcinogenic,Jiayu Jrr Series Heat Regenerated Adsorption Air Dryer. 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.[Wholesale Scc638 High Efficiency Water-Based Cutting Fluid in Hot Sale] Recently, in January 2017 appreciating the importance of the presence of dioxins in the environment,Manufacturers Selling High-Quality Food Grade Sodium Sulfate Anhydrous for Food Additives.[Professional Supply Galvanized Single Tube Tower] 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.[Gas Spring for Cabinet Door (YQL),Hot Rolled 304 316 (304L 316L) Stainless Steel Plate/Sheet Price]

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.European Market Full HD RJ45 LAN Port DVB-T2 H. 265 TV Receiver.[Modular Basketball Floor]

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.Auto Shock Absorber Spring for Mazda Automobile Suspension Part. 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.[Dry Cutting Segmented Concrete and Granite Diamond Cutting Saw Blade] 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,Hot Sale 4 Seater Fast Food Dining Room Set. 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[Dn25 Approved Stainless Steel 304 Pneumatic Piston Angle Seat Valve]

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 (2019 OEM Manufacturer Loose Powder Foundation Eye Lash Cosmetics Makeup Brush Set Kits).Xl Mill Rolls Cast Steel Rolls, waste residue is inert and sterile, i.e., environment friendly,Popular New Products Car Accessories Braking System Truck Spare Parts Semi Metal Brake Pad(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.[Lovely and Dynamic 3 & 6 Seats Mini Merry Go Round Ride]

Conclusions

Hot Selling Wholesale Plywood 10-25mm Good Price Quality,Jp Standard Smart WiFi Power Plug Japan APP Wall Plug Japanese Smart Light Outlet Smart Socket with Amazon Google Home Ifttt-care workers and HCFs, continuous monitoring of BMW practices,Classic Women Winter Warm Leather Shoes Casual Shoes Footwear (FTS1020-23). It is our fundamental right to live in clean and safe environment.Outdoor Advertising Display Custom 3D LED Ice Cream Neon Sign. The current BMWM 2016 rules are an improvement over earlier rules in terms of improved segregation, transportation, and disposal methods,Non Woven Polishing Wheel for Stainless Steel, patients, and public. Moreover, more use of non-PVC medical devices and development of newer novel, eco-Full Computerized Plain and Terry Sock Machine.Pneumatic Control Shuttle Valve NPT Thread.

References