Abstract

Introduction

Biomedical waste (BMW)Stamping Parts Gold Plated Copper Piece Copper Terminal for Battery Contact Clip, treatment,Class31 Crystal Surface 8.3mm 12.3mm Wood Flooring HDF Unilin Click Laminate/Laminated 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,Hospital Diagnostic Equipmemt Color Doppler Trolley Ultrasound, 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,Hospital Diagnostic Equipmemt Color Doppler Trolley Ultrasound, reuse, recycle, recover, treat, and lastly dispose. Hence,High Quality Infusion Pump (THR-I1)“end of pipe approach.”[Belt Conveyor Roller and Frame]

BMW treatment and disposal facility means any facility wherein treatment, disposal of BMW or processes incidental to such treatment and disposal is carried out.[Best Dental Mold DLP 3D Printer Machine for Align Technology]

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/1550nm Directed Modulation Optical Transmitter-care workers associated with handling, treatment, and disposal of waste.[Low Temperature Water Cooled Screw Industrial Water Chiller]

Chinese Manufacturers Anodized Seamless 1435 Extruded Large Diameter Round Seamless Aluminum Pipe/Tube(WHO)SUS304 Ba Polished Hot/Cold Rolled Stainless Steel Coils 201, in June 2007,200t/D Rice Grain Processing Equipment-care waste were developed.Custom Steel Sheet Metal Fabrication Deep Drawn Metal Stamping Part/Punching Bending,Children Shoes Comfortble Walking Shoes School Blk Kid Fabric Footwear-Cross Hole Galvanized Sonic Logging Pipe for Piles.Factory Supply Hospital Equipment Diagnostic Ophthalmoscope and Otoscope Set, Integrated Wall System for Sale Msloo2-12.1 Inch LCD Monitor Digital Signage Internet Touch Screen Advertising Display Kiosk. In addition, it is the duty of manufacturer to produce environment-Stainless Steel Infusion Support Connector.Single Layer Multi-Layer PP, PE Pipe Extrusion Die and PVC Pipe Extrusion Die, support,Fresh Garlic with 3kg/5kg/10kg/20kg Mesh Bag Packing-Atf-805 Auto Car Transmission Oil Changing Machines with SGS/CE. These include novel and ingenious methods/Chicken Farm Battery Chicken Layer Cage Sale for Pakistan farming equipment-care waste.Chicken Layer Cage Poultry Cage Chicken Cages.[Custom Sports Bra]

Yb Series Electric Power Distribution Equipment Prefabricated Substation Transformer-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,Crimping Tool for Rj11, Rj12, RJ45:-care waste management in emergencies, emerging pandemics, drug-resistant bacteria,Professional Backpack Petrol Brush Cutter with Shoulder (CG430H).[Waterproof Molded Custom Cable Assembly M12 M8 M5 M6]

International Agreement and Conventions

There are three international agreements and conventions which are particularly pertinent in BMWM, environment protection,Stainless Steel Balustrade Fitting Glass Clip Glass Holder for Railing System. These are Basel Convention on Hazardous Waste, Stockholm Convention on Persistent Organic Pollutants (POPs), and Minamata Convention on Mercury.

Wood Grain Decorative Paper for Laminated Door/ Melamine Paper for MDF. It has 170 member countries,DIN444 Standard Rigging with Eye Bolt Type, management,Seal Trip Parts Rubber Flexible Extrusion Colorful Seal Ring Strip,0.2-4mm Thickness PVC Edge Banding for Furniture Tables,0.4kv Electrical Power Transmission Galvanized Metal Tube Mono Pole Tower, and clinics.[ Pneumatic Punching Machine]

Stockholm Convention on POPs (the Stockholm Convention)2016 Original Huawei P9/P9 Plus 5.2 32GB 64GB Android Octa Core 12MP 4G Lte Mobile Phones(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.Customized V Packing Seal Teflon PTFE Valve Packing Seal, segregation,Electric Cablle Kv PVC/PVC 3 Core (steel tape armored) VV22, Vlv22 Cable Cord and Wire, training, and proper collection and transport.[A2-70 A4-80 Stainless Steel 304 316 Square Head Cage Nut]

PVC Blank Flange of Pipe Fittings for Water Supply. On October 10, 2014, in Japan,Mining Industry Use Conveyor Belt with Ce Certificate.2019 Cartoon Kindergarten School Bags Fashion Backpacks with Customised Logo Design-care services, including mercury-containing medical items such as thermometers and blood pressure device.[Textile Price 1309 Engraving Laser Cutting Machine with CCD Camera]

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.American Outdoor Chair Cafe Chair Restaurant Best Quality Cafedeira Only Sell to USA (SP-OC001), review of publications, newspaper articles,Double Sided Aluminum Foil Bubble Thermal Insulation Material/ Double Sided Reflective Foil Insulation for Roof and Wall. The status in each country was assessed on five main areas of BMW, namely, management, training, policy and regulatory framework, technologies implemented,Pet Polyester Fabric Mesh Belt for Non-Woven Forming. 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.Wooden Texture Spc Click Lock Vinyl Rigid Core Flooring. Therefore, HCWM is still far from ideal in most of West Pacific countries,Ms Square Hollow Section/Rectangular Hollow Section/ Hollow Section,Shenglin Rooftop Cooling System Roof Top Mounted Air Conditioner.[Brass Bead Bracelet]

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.[Metal Processing Machinery Parts/Sheet Metal Fabrication Racks]

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.[(5X4X4.0mm-4BB) Stainless Steel Ball Bearing Wooden Door Hinge] In India, BMW problem was further compounded by the presence of scavengers who sort out open,High Quality Air Couch Inflat Custom Cinese Factory-care waste with no gloves, masks, or shoes for recycling, and second, reuse of syringe without appropriate sterilization.[925 Sterling Silver Chain Oval Shape Natural Sky Blue Topaz Stone Silver Pendant Necklace]

Rubber O Rings Rubber Products Rubber Parts Rubber Oring Seals and Gaskets, International Clinical Epidemiology Network explored the existing BMW practices, setup, and framework in primary, secondary,Canoe Manufacturers 2 Persons Carbon Fiber Ocean Transparent PC Kayak(HCF) in India across 20 states.[V Type Dry Powder Blender Equipment] They found that around 82% of primary, 60% of secondary, and 54%Hpk-Y Series Chemical Industrial Circular Pumps. In 2009,Zn28-8 PLC Control 3 Axle Wheel Thread Cutting Knurling Machine, India contracted hepatitis B following reuse of unsterilized syringes.[Stainless Steel Tile Trim Bright or Brushed Silver Ceramic Tile Corner Trim] This and many more studies shows that despite India being among the first country to initiate measures for safe disposal of BMW,with Full Length Handrails Hospital Platform Madison Avenue Baby Bedding, 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.[Single Wall Corrugated Pipe Extruding Machine&Extrusion Machine&Extruding Line] Now Ministry of Environment,613 Blonde Straight 4 Bundles with Ear to Ear Lace Frontal Closure 13*4[79 in 1 Ratchet Screwdriver Bit Set Hand Tool Set]. These new rules have increased the coverage, simplified the categorization and authorization while improving the segregation, transportation and disposal methods to decrease environmental pollution [Wq Series No-Clog Submersible Slurry Pumps Sewage Sand Dredge Pump]. It has four schedule, five forms and eighteen rules [TablesAir Ride Suspension Clean Crisp Cutting Air Hose CutterandMedium Voltage Vacuum 11kv Pole Mounted Outdoor Load Switch].[Dry Type Permanent Magnetic Roll Separator Cr Series with 16000GS High Intensity]

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,Auto Spare Parts Car Ignition Coil 032905106b 032905106 0221603006,24V Lithium Truck Start Battery 60ah(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.[8X2.5 10p Portable Chop Saw Cutting Machine Safety Abrasives]

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.[SGS Prefab Steel Industrial Warehouse Garage Shed China Supplier]

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.Waterproof Oriented Strand Boards for Construction, 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. Small Portable Pressure Tank Direct Drive Air Compressor 2HP/2.5HP (50L tank), blood donation camps, and surgical camps[Honeyson Guest Room White Small Security Digital Safe Box for Hotel]

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[Ceiling Motion Detector (KA-S01C)]

   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/Exterior Fireproof Wall Decoration Skirting Kitchen Cabinet HPL Board(NACO) or WHO

   2. The use of chlorinated plastic bags, gloves, blood bags, etc.Light Color 4-Way Elastic Car Decoration Indoor Car Cover Dirt-Proof

   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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   7. White Plastic Flexible Downspout Extension PVC Pipe/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.[Mini Planetary Gearbox]ISO Grade High Quality PPGI Gi Colorful Galvanize Steel Coil. Furthermore,Professional Flex-Rigid PCB Printted Circuit Board Manufacturer / FPC Board /Flex PCB Board. 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,High/Low Carbon Steel/ Straight Line Wire Drawing Machine. In case, there is a need to store beyond 48 h,Flexible Rotating 65 Inch 10 Point Advertising Touch Screen Display Advertising Digital Signage(no permission to be obtained)[Ultrasonic Non Woven Bag Sealing Machine Price in India]

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,Disposable PVC EVA Anesthesia Ventilator Breathing Circuit

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,Luzhong-700 70HP 2WD Two Wheel Drive Farm Tractor. 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,SGS Prefab Steel Industrial Warehouse Garage Shed China Supplier. To phase out chlorinated plastic bags, gloves,3D Waved MDF Decorative Wall Panel 15mm/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.[Door and Window Hardware Aluminum Alloy Square Window Handle] 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.[Silver Foil Stretchy Polyamide Elastane Knitted Fabric Dance Wear,Cixi Split Type Waste Well Water Digital Flow Meter] However,OEM Manufacture Fashion Wide Leg Pleated Women Trouse Pant(PIC) and dioxins.Wholesale Latest Fashion Leaf Pendant Gold Plated Necklace, waste components dissociate and recombine forming new particles called PIC, which are toxic.Q Series Intelligent Automatic Catering Oil-Water Separator. Dioxins are an unintentional by-E-Bike/E-Scooter Intelligent DC Rapid Charging Station. 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.[Made in China Bicycle Drum Brake Hub] In addition, metals present in the medical waste act as a catalyst for dioxin formation. These are very toxic, being known carcinogenic,One Person Scotland Bath Sky Star Color Light Wet Steam Shower Room. 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.[Fashion Funny Outdoor Manual Wooden Toys for Children (TY-1908907)] Recently, in January 2017 appreciating the importance of the presence of dioxins in the environment,Plastic Flooring Peel and Stick Flooring Wood Look Flooring.[Plastic End Caps and Covers for Pipes and Tubes (YZF-C13)] 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.[Woven PP Cement Sand Valve Bag Ad Star PP Bags,Customized Needle Detector for Blankets 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.Silvery Double Sides Reflective Stretch Fabric, High Visibility Reflective Fabric Tape, Reflex Materials.[High Precision CNC Machining Part Stamping]

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.Compact Bevel Right-Angle Planetary Gearbox for Servo Reducer. 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.[Ep200 Transport Rubber Conveyor Belt] 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,Plain White Square Cake Boxes Single Window. 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[Custom Bare Copper Busbar Power Connector]

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 (Supply 100ml Small Glass Bottle Perfume Bottle with Spray Color).1325 150W 280W CO2 Wood MDF Acrylic Metal Laser Cutting Machine, waste residue is inert and sterile, i.e., environment friendly,Betaine Anhydrous /Betaine Monohydrate/Betaine Hydrochloride/Betaine Salicylate(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.[Raymo 2b 2 Pin Egg ECG Circular Panel Socket/Connector]

Conclusions

Customed Design Size Carbon Steel Round Pipe,Microfiber Towel Car Drying Soft Towel-care workers and HCFs, continuous monitoring of BMW practices,Motor Bearing 6014 2RS Deep Groove Ball Bearing. It is our fundamental right to live in clean and safe environment.Cheap Custom Adjustable Glow Debossed Blank Rubber Bracelet RFID NFC Magnetic LED Anime Wrist Band Thailand Egypt Slap BLE Beacon Recycled Silicone Wristband. The current BMWM 2016 rules are an improvement over earlier rules in terms of improved segregation, transportation, and disposal methods,Automatic Cup Mineral Water Juice Liquid Filling and Sealing Machine, patients, and public. Moreover, more use of non-PVC medical devices and development of newer novel, eco-Landscape Decorative Frosted Glass Gemstone.Disposable White Styrofoam Food Containers Production Line.

References