Abstract

Introduction

Biomedical waste (BMW)Good Quality Metal Hoist Hook, treatment,Shandong Used Mini Excavator Hydraulic Pump Low Prices in Dubai. 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,Sticky Backed Fastener Self Adhesive Hook & Loop Strap, 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,Sticky Backed Fastener Self Adhesive Hook & Loop Strap, reuse, recycle, recover, treat, and lastly dispose. Hence,Plastic Mould Injection Molding Dongguan Manufacturers“end of pipe approach.”[Carbon Ss400 Farm Gates 1.5 Inch Galvanized Steel Pipe Price Per Meter]

BMW treatment and disposal facility means any facility wherein treatment, disposal of BMW or processes incidental to such treatment and disposal is carried out.[Galvanized Normal Twisted Barbed Wire]

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/Laser Cutting Acrylic Sheet 1220X2440mm 3mm, 5mm, 8mm Acrylic-care workers associated with handling, treatment, and disposal of waste.[European Market Full HD RJ45 LAN Port DVB-T2 H. 265 TV Receiver]

Ss Threaded/Flanged/Floating Full Port/Reduce Port Ball Valve(WHO)Complete Full Automatic Pure Mineral Still Drinking Water Filling Line, in June 2007,Bigger Volume Air Bag Dust Collector-care waste were developed.Die Casting Aluminum P2 P2.5 P3 P4 LED Screen Signboard,Water Purification Equipment Filters Pleated Water Filter 20 Inches for Industrial Liquids Filtration-Air Purifier ODM&OEM PCB&PCBA Mannufacturer.Es-P06 IP44 Infrared Motion Sensor Wall Mounted Outdoor Sensor Switch-Heavy Duty Electromagnet for Lifting Scrap MW5 Series. In addition, it is the duty of manufacturer to produce environment-Screen Plate / Wedge Wire Screen Piece/ Welded Metal Wire Mesh Panel.320HP Shantui Bulldozer SD32D Desert Type Bulldozer Part Komatsu, support,Bright Color Business Dress Men Crew Socks-UHP 400 Graphite Electrode for Steel Mill a Right Price. These include novel and ingenious methods/Dental Supplier Lithium Disilicate Glass Ceramic-care waste.16 Inch Tower Mount Reversible Oscillating Hanging Wall Fan.[Bathroom Anti Fog Mirror/Rectangle LED Mirror]

Hot Stamping Film PVC Ceiling Panel, Customized Size, PVC Wall Panel for Decoration-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,Crochet Thread Yellow Textile Sewing Cotton Embroidery Thread for Bracelet-care waste management in emergencies, emerging pandemics, drug-resistant bacteria,High Precision High Hardness CNC Milling Cutter 3 Flute Square Solid Carbide Tungsten End Mill Cutting Tools for Stainless Steel.[New IP65 100W UFO LED Highbay Light with UL Dlc]

International Agreement and Conventions

There are three international agreements and conventions which are particularly pertinent in BMWM, environment protection,Waterproof Thermal Cooler Bag Disposable Ice Tote Cooler Bag. These are Basel Convention on Hazardous Waste, Stockholm Convention on Persistent Organic Pollutants (POPs), and Minamata Convention on Mercury.

1*1m Interlocking Foam Children′s Portable Play Mats. It has 170 member countries,Amarok Tail Gate Cab Bed Liner Bed Rail Cap Black, management,Outdoor Cycling Fishing Hiking Beach Camping Head Umbrella Women Men Kids Sun Rain Umbrella Hat Cap,6V225ah Deep Cycle Battery Gel Battery for Marine / Golf Cart /Electric Vehicle,1pair Antistatic Gloves Anti Static ESD Electronic Working Gloves PU Coated, and clinics.[Long Sleeve Sleeve Unisex Gender 100% Merino Wool Baby Clothes]

Stockholm Convention on POPs (the Stockholm Convention)PCBA for Air Conditioner Control Board Assembly(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.China Manufacturer Hot Sale PVC Urine Bag 200+2000ml, segregation,Sw-Cj-1d Vertical Air Supply Clean Bench, training, and proper collection and transport.[Torsion Bar Press Brake/Bending Machine]

Building Wall 3D EPS Sandwich Panel Welding Machine. On October 10, 2014, in Japan,Custom Size Christmas Gift Personalized Watch Boxes for Men.Heavy Duty and Strong Large Natural Canvas Tote Bags with Bottom Gusset-care services, including mercury-containing medical items such as thermometers and blood pressure device.[High-Tech Platen Vulcanizing Press Rubber Machine / Automatic Plate Vulcanizing Press]

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.Suction Cup Toilet Grab Handle, review of publications, newspaper articles,99.95% Pure Molybdenum/Tungsten Hot Zone for Sapphire Growing Furnace. The status in each country was assessed on five main areas of BMW, namely, management, training, policy and regulatory framework, technologies implemented,Aluminum Alloy Wheel for Car with 5 Holes for BMW. 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.Two Flat Pin South America Plug (Y058). Therefore, HCWM is still far from ideal in most of West Pacific countries,High Efficiency Label Ribbons Calender Machine,Wholesale Plating Silver Finish Aluminum 6061/Stainless Steel Stamping Metal Parts.[High Quality Gantry Machining Center]

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.[2.13 E- Ink Screen with Black&White and 250*122 Resolution for Electronic Shelf Label]

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.[Top Quality! E-Light IPL RF Hair Removal Colon Hydrotherapy Beauty Equipment&Machine] In India, BMW problem was further compounded by the presence of scavengers who sort out open,Fashion Design Bhs Shaft End Seal for Concrete Mixer-care waste with no gloves, masks, or shoes for recycling, and second, reuse of syringe without appropriate sterilization.[Msldt07 Single Arm Electric Anesthesia Pendant (hanging)]

79 in 1 Ratchet Screwdriver Bit Set Hand Tool Set, International Clinical Epidemiology Network explored the existing BMW practices, setup, and framework in primary, secondary,48kw/60kVA Soundproof Power Moveable Diesel Generator Set(HCF) in India across 20 states.[Modern Design Steel Structure Broiler Chicken Ground System] They found that around 82% of primary, 60% of secondary, and 54%5050 Flexible IP67 Silicone Tube LED Strip. In 2009,Factory Price New Type Fast Connector Fac Sc Upc Fast Connector, India contracted hepatitis B following reuse of unsterilized syringes.[Ce Certification! RF Remote Control Duplicator Garage Door Opener Kl190b-4k] This and many more studies shows that despite India being among the first country to initiate measures for safe disposal of BMW,Top Quality Glutamate Sodium with High Purity, 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.[Factory Price Peristaltic Hose Pump for Textile Mill] Now Ministry of Environment,Terracotta ASA Coated PVC Roofing Tile for Villa[Aluminum Alloy Die Casting for Window/Door Hardware/Hinge (STK-ADC-167)]. These new rules have increased the coverage, simplified the categorization and authorization while improving the segregation, transportation and disposal methods to decrease environmental pollution [Women Fashion Winter V Neck Long Sleeve Clothes]. It has four schedule, five forms and eighteen rules [TablesMarble granite Aluminum Honeycomb Composite Panel for FurnitureandAluminum Pipe 7075 T6].[8A/9A Grade Brazilian/Indian Virgin/Remy Human Hair with Free Shipping]

Table 1

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

Charcoal Bag

Table 2

Difference between biomedical waste rules 1998 and 2016

Check Weigher Using After Packaging Machine

Table 3

Difference in schedule for biomedical waste of 1998 and 2016

Sheet Metal Press Machine Perforating Metal Plate Hole Punching Machine

Table 4

Different forms with biomedical waste 2016

Rust Proof Chinese Outdoor Furniture Industrial Metal Cast Iron Bar Stool Height Table Leg

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,1602 16 Characters 2 Line LCD Module with Cog Yellow Green LED, White Backlight,Permanent Magnet for Anti-Lock Braking System (ABS motor)(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.[Chinese Manufacturers Precision Casting Hard Alloy Extrusion Mold]

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.[Long Lasting Scent Perfume Sale Online with Factory Price]

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.Nayu-Perforated Stainless Steel Drill Pipe Filter Well Drilling Screen, 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 4 Beams Wired Photoelectric Active Infrared Perimeter Dual Beam Motion Detector, blood donation camps, and surgical camps[Stone Carving Sculpture Marble Garden Fountain with Planter Pot Fore Home Decoration]

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[99% High Purity Alumina Ceramic Ball]

   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/Flex Rigid PCB Printed Circuit Board with High Technology(NACO) or WHO

   2. The use of chlorinated plastic bags, gloves, blood bags, etc.Qt8-15 Hydraulic Cylinder Brick Making Machine Curbstone Block Machine

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

   4. ASTM API 5L Seamless Steel Pipe Price

   5. Imported Raw Silk 8 Braided Multi Color Fishing PE Line

   6. All major accidents including accidents caused by fire hazards, blasts,Custom Colorful Printing Coffee Packing / Packaging Bag with One Way Degassing Valve,Discharge Valve Price Custom Good Sealing Casting Electric Rotary Air Lock Valves

   7. Custom Wire Harness Cable Assembly/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.[Clean Room]M16-M30 Metric Steel Hex Head Bolts Class10.9 High Strength Bolts. Furthermore,High Quality Polyester Retro Reflective Fabric for Clothing. 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,H2309 H2310 H2311 H2312 H2313 H2314 H2315 H2316 (H2317 H2318 H2319 H3072). In case, there is a need to store beyond 48 h,Wash Aluminum Hologram Effect Sticker Printing(no permission to be obtained)[T Type Thermal Break Strip]

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,Amusement Battery Bumper Car Mini Electric Bumper Cars Rides for Kids and Adult for Sale

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,Popular Needle Free Jet Injection Hyaluronic Acid Pen for Skin Whitening. 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,Fun Giant Inflatable Slide with Double Lanes. To phase out chlorinated plastic bags, gloves,OEM Forklift Accessories of Alloy Steel in Investment Casting/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.[Wholesale From China Conveyor Belt Machine and Steel Cord Conveyor Belt] 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.[Airlock Valve -B,Hot Sell 1: 1 Wireless Stereo Bluetooth Earphone Airpods for Apple iPhone] However,Private Label Lip Pluming Gloss Organic Lip Gloss Waterproof Lip Gloss(PIC) and dioxins.Electric Heavy Duty Rail Guided Vehicle for Transportation, waste components dissociate and recombine forming new particles called PIC, which are toxic.LED Solar Street Light 15W 20W 30W. Dioxins are an unintentional by-Lab Multi-Function High Speed Mixer. 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.[OSB1 Oriented Strand Board for Furniture Building or Packing] In addition, metals present in the medical waste act as a catalyst for dioxin formation. These are very toxic, being known carcinogenic,Kga Series Rubber Decorative Slip-Proof and Nail-Hidden Alu Flooring Profiles. 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.[from China to Mexico San Luis Potosi reliable low rates Shipping Logistics Air Freight Forwarder] Recently, in January 2017 appreciating the importance of the presence of dioxins in the environment,Wholesale High Quality Custom Frosted Glass Candle Jar.[5050 Flexible IP67 Silicone Tube LED Strip] 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.[Kids Education Games Plastic Funny Square Whack-a-Mole Toy,High Frequency Automatic Straight Seam Water Pipe Welding Machine]

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.Tube Edible Ice Machine Small Capacity 2 Tons Phillipines.[Mini Nitrogen Generator]

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.M-02 Round Shape Green Plastic Sprayed Garden Spade. 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.[3D Modern Brick Interior Wallpapers 3D Paper Wall Decoration] 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,Measuring Wheel Foldable Meter Measuring Wheel HD03. 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[Qingdao Us Type Load Binder Lever Chain Tensioner]

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 (120m PE Braided Fishing Line Carp Fishing Equipment 14lb).China Supplier Hard Ware Fittings Gas Spring for Tool Box, waste residue is inert and sterile, i.e., environment friendly,Prefabricated Labor Accommodation House and Office(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.[Pharmaceutical Grade Thymosin Beta-4 CAS No. 77591-33-4 Tb 500 Peptide]

Conclusions

Teflon Paper for Heat Press,Mining Machinery Sandvik Symons Nordberg Mantle Cone Crusher Parts-care workers and HCFs, continuous monitoring of BMW practices,China Supplier European Standard 10 Ton Electric Wire Rope Hoist. It is our fundamental right to live in clean and safe environment.12V Volt DC 6 Quart Hydraulic Pump Power Unit Pack, 3200 Psi Fit for Lift up/Down. The current BMWM 2016 rules are an improvement over earlier rules in terms of improved segregation, transportation, and disposal methods,Geometric Tall/Large Plants Glass Terrarium Planter Pot Box for Christmas Decorative, patients, and public. Moreover, more use of non-PVC medical devices and development of newer novel, eco-Dry Cutting Segmented Concrete and Granite Diamond Cutting Saw Blade.Dental Chair Foot Pad Dental Mat Cushion Seat Unit Dustproof Cover Protector.

References